Individual
SHAVASH SAFVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12626 RIVERSIDE DR, SUITE #303, NORTH HOLLYWOOD, CA 91607
(818) 760-2434
(818) 760-8832
Mailing address
12626 RIVERSIDE DR, SUITE #303, NORTH HOLLYWOOD, CA 91607
(818) 760-2434
(818) 760-8832
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A49842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A498420
—
CA
Enumeration date
10/13/2006
Last updated
06/21/2023
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