Individual
MR. SHAHAB MOSTAFANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 W LOS FELIZ RD STE E, GLENDALE, CA 91204-2769
(818) 296-0201
Mailing address
401 W LOS FELIZ RD, GLENDALE, CA 91204-2769
(818) 296-0201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16378
CA
363AM0700X
Medical Physician Assistant
Primary
PA16378
CA
Other
Enumeration date
03/21/2006
Last updated
12/06/2024
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