Provider Demographics
NPI:1386721629
Name:AFSHAR, SHIRIN B
Entity type:Individual
Prefix:MRS
First Name:SHIRIN
Middle Name:B
Last Name:AFSHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 PLANT AVE
Mailing Address - Street 2:B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1950
Mailing Address - Country:US
Mailing Address - Phone:310-880-0730
Mailing Address - Fax:
Practice Address - Street 1:1902 PLANT AVE
Practice Address - Street 2:B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-1950
Practice Address - Country:US
Practice Address - Phone:310-880-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified