Provider Demographics
NPI:1699651455
Name:SHAH, SIMRAN
Entity type:Individual
Prefix:
First Name:SIMRAN
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15920 POMONA RINCON RD UNIT 6101
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5528
Mailing Address - Country:US
Mailing Address - Phone:917-774-6444
Mailing Address - Fax:
Practice Address - Street 1:15920 POMONA RINCON RD UNIT 6101
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-5528
Practice Address - Country:US
Practice Address - Phone:917-774-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program