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1396071908
SHIVA FARAHVASHI
BEVERLY HILLS, CA
NPI
1396071908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 20575)
Enumeration Date
2009-11-02
Last Update Date
2018-12-07
Business Address
Mrs. SHIVA FARAHVASHI PA
450 N. BEDORD DR. STE 209
BEVERLY HILLS, CA 90210-4306
Phone number: 516-404-5109
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Mailing Address
Mrs. SHIVA FARAHVASHI PA
16661 VENTURA BLVD STE 824
ENCINO, CA 91436-4802
Phone number: 818-784-4100
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