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1295154847
SHABNAM MORTAZAVI
LOS ANGELES, CA
NPI
1295154847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A161296)
Enumeration Date
2014-04-10
Last Update Date
2023-01-13
Business Address
SHABNAM MORTAZAVI MD, MPH
757 WESTWOOD PLZ STE 1638
LOS ANGELES, CA 90095-8358
Phone number: 310-267-8796
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Mailing Address
SHABNAM MORTAZAVI MD, MPH
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90095-5631
Phone number: 310-301-8707
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