Individual
SHAHROOZ SEAN KELISHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SUPERIOR AVE, STE 340, NEWPORT BEACH, CA 92663-3609
(949) 515-7874
Mailing address
500 SUPERIOR AVE, STE 340, NEWPORT BEACH, CA 92663-3609
(949) 515-7874
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A127984
CA
Other
Enumeration date
02/25/2007
Last updated
02/09/2017
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