| Doctor Name: | MOBASHSHERA JABEEN |
| NPI Number: | 1043497472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 19427 |
| Business Practice Address: | 15730 Paramount Blvd Consultario Medico Latino Medical Center Paramount, CA - 907234333 |
| Business Phone Number: | 5626341000 |
| Business Fax Number: | |
| Mailing Address: | 1431 257th St, Apt.#3 HARBOR CITY |
| State: | CA |
| Postal Code: | 907102753 |
| Phone Number: | 5626341000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 19427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |