Individual
JOHN MOJTABA SHAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3373 NIGHT BLOOM LN, PERRIS, CA 92571-3755
(949) 800-9032
Mailing address
3373 NIGHT BLOOM LN, PERRIS, CA 92571-3755
(949) 800-9032
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8FSZ080
CA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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