Individual
DR. SHERVIN ALEXANDER ETEMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 SAN PABLO ST STE 415, LOS ANGELES, CA 90033-5403
(203) 816-1441
Mailing address
1510 SAN PABLO ST STE 415, LOS ANGELES, CA 90033-5403
(203) 816-1441
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A189034
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
05/07/2024
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