MEDICARE: PARVIN SHAKER

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	235Z00000X	Speech-Language Pathologist	32714	CA

General Provider Information

NPI Number	:	1548107303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARVIN SHAKER

Provider Business Mailing Address
First Line	:	13461 RAMONA AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5029
Country	:	US
Telephone Number	:	909-628-1201
Fax Number	:

Provider Business Practice Location Address
First Line	:	16150 POMONA RINCON RD
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3101
Country	:	US
Telephone Number	:	909-606-7540
Fax Number	:

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

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “ PARVIN SHAKER ” Practice Location

Language	Start Address	Practice Location

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