Individual
SHAUN MARDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 CALLE AMISTAD UNIT 3207, SAN CLEMENTE, CA 92673-6923
(949) 292-3023
Mailing address
120 CALLE AMISTAD UNIT 3207, SAN CLEMENTE, CA 92673-6923
(949) 292-3023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767550
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4443
CA
Other
Enumeration date
10/16/2013
Last updated
12/27/2021
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