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1184608002
SHARO RAISSI
LOS ANGELES, CA
NPI
1184608002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A44836)
Enumeration Date
2005-12-05
Last Update Date
2012-05-17
Business Address
Dr. SHARO RAISSI M.D.
6310 SAN VICENTE BLVD STE 220
LOS ANGELES, CA 90048-5426
Phone number: 310-291-2166
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Mailing Address
Dr. SHARO RAISSI M.D.
16750 VIA PACIFICA
PACIFIC PALISADES, CA 90272-1949
Phone number: 310-291-2166
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