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1780929265
SHARO S RAISSI MD PC
LOS ANGELES, CA
NPI
1780929265
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Entity Type
Organization
Authorized Contact
SHARO S RAISSI
President
310-291-2166
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A44386)
Enumeration Date
2012-12-10
Last Update Date
2012-12-11
Business Address
SHARO S RAISSI MD PC
6310 SAN VICENTE BLVD STE 220
LOS ANGELES, CA 90048-5426
Phone number: 310-291-2166
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Mailing Address
SHARO S RAISSI MD PC
16750 VIA PACIFICA
PACIFIC PALISADES, CA 90272-1949
Phone number: 310-291-2166
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