Individual
BRIAN SHAGHAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2800 E RIVERSIDE DR, APT 366, ONTARIO, CA 91761-7405
(510) 303-6185
Mailing address
PO BOX 3956, ONTARIO, CA 91761-0988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2015
Last updated
02/11/2022
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