Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK A SHOHET, M.D.
Active Sole ProprietorOtolaryngic Allergy · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1346325180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.528352912293 yrs)
- Last Updated
- Sep 16, 2019
- Licenses
-
G54420 (CA)G83612 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
446 OLD NEWPORT BLVDNEWPORT BEACH, CA, 926634246Browse CA providers · Browse ZIP 92663
- Phone
- 9496310409
- Fax
- 9496312030
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
- Additional Specialty
- Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.