| Doctor Name: | JAMSHID JAMES SHARIATI |
| NPI Number: | 1134395320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 1117 W Manchester Blvd Suite K Inglewood, CA - 903011500 |
| Business Phone Number: | 3102153555 |
| Business Fax Number: | 3102153587 |
| Mailing Address: | 4267 Marina City Dr, Unit 114 MARINA DEL REY |
| State: | CA |
| Postal Code: | 902925810 |
| Phone Number: | 3108469777 |
| Fax Number: | 3108469776 |
| NPI Enumeration Date: | 05/07/2008 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |