05D0915704 CLIA NUMBER - JAMSHID SHAFAI MD

Laboratory Demographics

CLIA Number: 05D0915704

Facility Name: JAMSHID SHAFAI MD

Facility Address:
7601 ATLANTIC AVENUE
CUDAHY, CA
ZIP 90201
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Facility Phone Number: 213 562-3500

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1366557241

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0915704
LAB Type	Community Clinic
Facility Name	JAMSHID SHAFAI MD
Street	7601 ATLANTIC AVENUE
City	CUDAHY
State	CA
ZIP	90201
Phone	213 562-3500
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024