Individual
SHAHBAZ QAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17822 BEACH BLVD STE 300, HUNTINGTON BEACH, CA 92647-7172
(714) 375-1122
(949) 863-8581
Mailing address
4471 PACIFIC COAST HWY APT A304, TORRANCE, CA 90505-5694
(419) 509-8001
(949) 853-8581
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A163249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233173
—
CA
Enumeration date
05/13/2010
Last updated
03/15/2022
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