MEDICARE: SHAHNAZ ABRAR M F T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MF36571	CA

General Provider Information

NPI Number	:	1497848980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHNAZ ABRAR M F T

Provider Business Mailing Address
First Line	:	1246 ARMACOST AVE
Second Line	:	PH5
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6431
Country	:	US
Telephone Number	:	310-358-6888
Fax Number	:	310-550-7878

Provider Business Practice Location Address
First Line	:	1246 ARMACOST AVE
Second Line	:	PH5
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6431
Country	:	US
Telephone Number	:	310-358-6000
Fax Number	:	310-550-7878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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