Individual
ALAN SHAHBAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13640 ROSCOE BLVD, PANORAMA CITY, CA 91402-3904
(833) 574-2273
Mailing address
13640 ROSCOE BLVD, PANORAMA CITY, CA 91402-3904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A21865
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2022
Last updated
08/17/2025
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