Individual
ANDREW SHAHBAZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 W ARROW RTE APT 733, UPLAND, CA 91786-8848
(818) 397-1036
Mailing address
2122 W ARROW RTE APT 733, UPLAND, CA 91786-8848
(818) 397-1036
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
39151
CA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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