Individual
MS. ANA SHAHNEMATOLLAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14624 SHERMAN WAY, SUITE 603, VAN NUYS, CA 91405-2241
(818) 994-0616
Mailing address
17350 W SUNSET BLVD., UNIT 101C, PACIFIC PALISADES, CA 90272-4103
(310) 266-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
17334
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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