Individual
ALI S SHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8524 1/2 ROSECRANS AVE, PARAMOUNT, CA 90723
(562) 633-3082
(562) 633-3067
Mailing address
8524 1/2 ROSECRANS AVE, PARAMOUNT, CA 90723
(562) 633-3082
(562) 633-3067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D50980
—
CA
Enumeration date
02/23/2007
Last updated
11/06/2012
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