Individual provider · Type 1 NPI

Sharo Raissi, MD

Specialist · Los Angeles, CA

NPI number 1184608002 Active

Practice location

6310 San Vicente Blvd, Ste 220
Los Angeles, CA 90048-5426

Fax (310) 274-0595

Mailing address

16750 Via Pacifica
Pacific Palisades, CA 90272-1949

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA44836 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184608002

Sharo Raissi, MD's National Provider Identifier is 1184608002, issued on Dec 5, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on May 17, 2012.