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Contact Information

SHAHLA ALDAVOODI
18300 ROSCOE BLVD
NORTHRIDGE, CA91325-4105
 Phone: 818-885-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHAHLA ALDAVOODI · (Female)

NPI Number 1104328384
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2018
Last updated 06/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95015696
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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