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NPI Code Detail

MEDICARE: SHARAREH CHANTEL MAJDI PA-C

MEDICARE:   SHARAREH CHANTEL MAJDI  PA-C
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
1363AM0700XMedical Physician AssistantPA56468CA
2363A00000XPhysician AssistantPA56468CA

General Provider Information

NPI Number : 1831653054
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARAREH CHANTEL MAJDI PA-C
Provider Business Mailing Address
First Line : 801 E KATELLA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6614
Country : US
Telephone Number : 714-633-6373
Fax Number : 714-633-1443
Provider Business Practice Location Address
First Line : 801 E KATELLA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6614
Country : US
Telephone Number : 714-633-6373
Fax Number : 714-633-1443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 10/19/2022

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Directions to “ SHARAREH CHANTEL MAJDI PA-C” Practice Location

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