Individual
JAMSHID JAMES SHARIATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 W MANCHESTER BLVD, SUITE K, INGLEWOOD, CA 90301-1500
(310) 215-3555
(310) 215-3587
Mailing address
4267 MARINA CITY DR, UNIT 114, MARINA DEL REY, CA 90292-5810
(310) 846-9777
(310) 846-9776
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A105315
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9042139
—
CA
Enumeration date
05/07/2008
Last updated
04/13/2016
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