Monazzam, Shafagh
Monazzam, Shafagh is an sole proprietor health care provider with primary practice located at 4067 Tweedy Blvd , South Gate CA 90280-6146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Monazzam, Shafagh can be contacted via phone (323) 569-1126.Contact Information
Primary practice address
4067 Tweedy Blvd
South Gate CA 90280-6146
Phone: (323) 569-1126
Fax: (877) 403-7113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | A120465 | California |
Profile Details
| NPI number | 1619276573 |
|---|---|
| LBN Legal business name | Monazzam, Shafagh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2011 |
| Last updated | Jan 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619276573 | NPPES |
| California | MEDICAID | 130223 |
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