Individual
SEAN PAUL SHAHMIRZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 EL CAMINO REAL, SANTA CLARA, CA 95050-4345
(408) 551-1767
Mailing address
735 ROBLE AVE, APT 3, MENLO PARK, CA 94025-4831
(818) 264-6111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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