DR MONA SHAH PROFESSIONAL CORPORATION
NPI 1053643171
Internal Medicine in San Pedro, CA

Q: What is Dr Mona Shah Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 01, 2010

1600 S GAFFEY ST, SAN PEDRO, CA 90731(310) 548-0201(310) 547-3340 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Jul 14, 2016 (2 updates tracked since 2016).

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About Dr Mona Shah Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR MONA SHAH PROFESSIONAL CORPORATION (NPI 1053643171) is a healthcare organization registered as an internal medicine in San Pedro, California and active in the NPI registry since February 2010. The organization maintains a secondary practice location in San Pedro and lists Mona Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1053643171

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDR MONA SHAH PROFESSIONAL CORPORATION

Location Address1600 S GAFFEY STSan Pedro, CA 90731-4628

Mailing Address1600 S Gaffey StSan Pedro, CA 90731-4628 · (310) 548-0201 · Fax (310) 547-3340

Phone(310) 548-0201

Fax(310) 547-3340

Organization SubpartNo

Authorized OfficialMona ShahOwner · (310) 548-0201

Enumeration DateFebruary 1, 2010

Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1053643171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A56119

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1600 S GAFFEY ST, San Pedro, CA 90731

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Secondary Practice Location 1

Location 11366 W 7th StSan Pedro, CA 90732-3517 · Phone (310) 833-2461 ext. 3221 · Fax (310) 833-6342

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON SWIECKI FNP-BC

Nurse Practitioner (Family)