Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadi Doroudian

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801634928

Shadi Doroudian is a Student in an Organized Health Care Education/Training Program in Lake Forest, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

22471 Aspan St Ste 103
Lake Forest, CA 92630-1644
Phone: (949) 458-2715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1801634928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address22471 Aspan St Ste 103, Lake Forest, CA 92630-1644

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