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General NPI Number Information
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NPI Number | 1164591509
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Entity Type | Individual
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Provider Name | SHAFQAT RIZVI M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1720 E 120TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-3052
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Country | US
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Telephone | 310-668-4369
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Fax |
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Provider Business Mailing Address
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Address Line | 20710 AMIE AVE APT. 129
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City | TORRANCE
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State | CA
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Zip | 90503-3620
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Country | US
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Telephone | 310-921-9417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A97251
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License Number State | CA
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