Individual
SEAN CHRISTOPHER SHUGHROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-6362
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 626-6362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA65344
CA
363AS0400X
Surgical Physician Assistant
Primary
PA65344
CA
Other
Enumeration date
05/24/2023
Last updated
05/29/2025
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