| Doctor Name: | SHAVASH SAFVATI |
| NPI Number: | 1083704076 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A49842 |
| Business Practice Address: | 12626 Riverside Dr Suite #303 North Hollywood, CA - 91607 |
| Business Phone Number: | 8187602434 |
| Business Fax Number: | 8187608832 |
| Mailing Address: | 12626 Riverside Dr, Suite #303 NORTH HOLLYWOOD |
| State: | CA |
| Postal Code: | 91607 |
| Phone Number: | 8187602434 |
| Fax Number: | 8187608832 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A49842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |