BRIAN SHAGHAFI

ONTARIO, CA
NPI1376913806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-09-26
Last Update Date2022-02-11
Business Address
-- BRIAN SHAGHAFI PA
2800 E RIVERSIDE DR APT 366
ONTARIO, CA 91761-7405
Phone number: 510-303-6185
Mailing Address
-- BRIAN SHAGHAFI PA
PO BOX 3956
ONTARIO, CA 91761-0988
Phone number: