Individual
MR. ALI-AKBAR HASSAN SHAHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2067 W VISTA WAY, VISTA, CA 92083-6031
(760) 630-2550
Mailing address
45905 CORTE ORIZABA, TEMECULA, CA 92592-1250
(734) 749-5993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012821
CA
363LG0600X
Gerontology Nurse Practitioner
95012821
CA
363LP2300X
Primary Care Nurse Practitioner
95012821
CA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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