MEDICARE: DR. ABBASS SHAFII M.D.

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	207RG0100X	Gastroenterology Physician	C174764	CA
2	174400000X	Specialist	34460	CO

General Provider Information

NPI Number	:	1548218662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBASS SHAFII M.D.

Provider Business Mailing Address
First Line	:	28078 BAXTER RD STE 530
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1405
Country	:	US
Telephone Number	:	951-303-3718
Fax Number	:	951-698-0272

Provider Business Practice Location Address
First Line	:	28078 BAXTER RD STE 530
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1405
Country	:	US
Telephone Number	:	951-303-3718
Fax Number	:	951-698-0272

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	01/07/2026

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