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Shervin Hejazi

Student in an Organized Health Care Education/Training Program in Montclair, CA. Individual provider (NPI-1).

NPI number1104745140
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1104745140
Entity type
Individual (NPI-1)
Name
Shervin Hejazi
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2026
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program39020000XCAYes

Practice location

8859 Fremont Ave Unit 312
Montclair, CA 91763-3059

Phone 858-705-5986

Mailing address

8859 Fremont Ave Unit 312
Montclair, CA 91763-3059

Phone 858-705-5986

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