Provider Demographics
NPI:1467037903
Name:SALEHI, SHAHBAZ (MD, MPH, MSHIA)
Entity Type:Individual
Prefix:DR
First Name:SHAHBAZ
Middle Name:
Last Name:SALEHI
Suffix:
Gender:M
Credentials:MD, MPH, MSHIA
Other - Prefix:DR
Other - First Name:SHAHBAZ
Other - Middle Name:
Other - Last Name:SALEHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH, MSHIA
Mailing Address - Street 1:14662 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6064
Mailing Address - Country:US
Mailing Address - Phone:147-619-7700
Mailing Address - Fax:310-815-5046
Practice Address - Street 1:3828 DELMAS TER
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2713
Practice Address - Country:US
Practice Address - Phone:310-836-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
No246YC3301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Hospital Based
No246ZI1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherIllustration, Medical