Organization
VA SAN DIEGO HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAFAGH MONAZZAM M.D. (RESIDENT)
(714) 595-2250
Entity
Organization
Contact information
Practice address
4260 PORTE DE PALMAS UNIT 60, SAN DIEGO, CA 92122-5159
(858) 552-8585
Mailing address
4260 PORTE DE PALMAS UNIT 60, SAN DIEGO, CA 92122-5159
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
TRAINEE
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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