SHARO S RAISSI MD PC

LOS ANGELES, CA
NPI1780929265
Entity TypeOrganization
Authorized ContactSHARO S RAISSI
President
310-291-2166
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A44386)
Enumeration Date2012-12-10
Last Update Date2012-12-11
Business Address
SHARO S RAISSI MD PC
6310 SAN VICENTE BLVD STE 220
LOS ANGELES, CA 90048-5426
Phone number: 310-291-2166
Mailing Address
SHARO S RAISSI MD PC
16750 VIA PACIFICA
PACIFIC PALISADES, CA 90272-1949
Phone number: 310-291-2166