Most Relevant Information
Provider Data
| NPI Number: | 1003344995 |
| Provider Name: | JAAZAR SHALABI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 108481 |
Most Important Dates
| Enumeration Date: | 05/23/2017 |
| Last Updated: | 08/30/2023 |
Provider Practice Location
3636 4TH AVE STE 302
SAN DIEGO
CA
921034294
Practice Location Phone/Fax
| Phone: | 6266606916 |
| Fax: |
Provider Mailing Location
3636 4TH AVE STE 304
SAN DIEGO
CA
921034294
Provider Mailing Phone/Fax
| Phone: | 6266606916 |
| Fax: |