Pontea Shabkhiz

NPI #1669035119 in Oak Park, California

Provider Information

NPI Number: 1669035119
Entity Type: Individual
Name: Pontea Shabkhiz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 19, 2019
Last Updated: Apr 19, 2019

Practice Location

Address: 632 LINDERO CANYON RD
City: Oak Park
State: California
ZIP Code: 91377-5457
Phone: (818) 889-1243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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