Organization · Type 2 NPI

Sharo S Raissi MD PC

Specialist · Los Angeles, CA

NPI number 1780929265 Active

Practice location

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

Call (310) 291-2166 Map

Fax (800) 756-8714

Mailing address

16750 Via Pacifica
Pacific Palisades, CA 90272-1949

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA44386 (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 1780929265

Sharo S Raissi MD PC's National Provider Identifier is 1780929265, issued on Dec 10, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 11, 2012.