Shavontae Simpson
NPI #1689255929 in Redondo Beach, California
Provider Information
- NPI Number
- 1689255929
- Entity Type
- Individual
- Name
- Shavontae Simpson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Oct 5, 2022
Practice Location
- Address
- 510 N PROSPECT AVE STE 202
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3030
- Phone
- (310) 318-3010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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