Individual
MR. MOHAMMAD A SHADJARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1635 E OCEAN BLVD, APT. F3, LONG BEACH, CA 90802-6001
(818) 599-6944
Mailing address
1635 E OCEAN BLVD, APT. F3, LONG BEACH, CA 90802-6001
(818) 599-6944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA17775
CA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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