Individual
DR. REZA SHAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 E 1ST ST, SUITE 130, SANTA ANA, CA 92705-4079
(714) 352-2287
Mailing address
1400 N MAIN ST, SANTA ANA, CA 92701-2321
(714) 352-2287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A85480
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A85480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A854800
—
CA
Enumeration date
05/17/2006
Last updated
10/23/2012
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