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General NPI Number Information
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NPI Number | 1467633586
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Entity Type | Organization
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Legal Business Name | JAMSHID SHAFAI, M.D., INC.
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 7601 ATLANTIC AVE
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City | CUDAHY
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State | CA
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Zip | 90201-5019
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Country | US
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Telephone | 323-562-3500
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Fax | 323-562-1626
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Provider Business Mailing Address
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Address Line | 7601 ATLANTIC AVE
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City | CUDAHY
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State | CA
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Zip | 90201-5019
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Country | US
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Telephone | 323-562-3500
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Fax | 323-562-1626
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAMSHID SHAFAI
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Credential | M.D.
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Telephone | 323-562-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A35416
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License Number State | CA
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