Individual provider · Type 1 NPI
Shahab Mostafania, PA
Medical Physician Assistant · Glendale, CA
NPI number
1780643528
Active
Practice location
401 W Los Feliz Rd Ste E
Glendale, CA 91204-2769
Mailing address
401 W Los Feliz Rd
Glendale, CA 91204-2769
Other practice locations
- 212 Coffee Rd Ste 100, Bakersfield, CA 93309-1273 · (661) 885-6060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA16378 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | PA16378 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1780643528
Shahab Mostafania, PA's National Provider Identifier is 1780643528, issued on Mar 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glendale, CA. The record was last updated on Dec 6, 2024.