Individual
DR. SHADI KAZOURRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
Mailing address
2565 KENDALL ST, LA VERNE, CA 91750-3713
(909) 568-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2023-1390
NM
208M00000X
Hospitalist Physician
Primary
A183473
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2019
Last updated
12/22/2023
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