SHARO S RAISSI MD PC (NPI# 1780929265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780929265 |
| Entity Type | Organization |
| Organization Name | SHARO S RAISSI MD PC |
| Practice Address |
6310 San Vicente Blvd Ste 220 Los Angeles CA 90048-5426 |
| Mailing Address |
16750 Via Pacifica Pacific Palisades CA 90272-1949 |
| Practice Telephone | 3102912166 |
| Practice Fax Number | 8007568714 |
| Mailing Telephone | 3102912166 |
| Mailing Fax Number | 7148293011 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | DR. SHARO S RAISSI (PRESIDENT) |
| Authorized Official Telephone | 3102912166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A44386 | CA | Other Service Providers |
| Street Address |
6310 SAN VICENTE BLVD STE 220 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608002 | Sharo Raissi | Specialist | 6310 San Vicente Blvd, Ste 220, Los Angeles, CA 90048-5426 | 2005-12-05 |
| 1710437231 | San Vincente Women's Total Health Center Inc | Pharmacy | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2016-10-07 |
| 1609279306 | Beverly Hills Allergy | Allergy & Immunology | 6310 San Vicente Blvd, 220, Los Angeles, CA 90048-5426 | 2014-10-08 |
| 1396145959 | Anna Milanesi Md Inc | Internal Medicine | 6310 San Vicente Blvd, 220, Los Angeles, CA 90048-5426 | 2014-09-01 |
| 1629477872 | Joy Chudzynski | Psychologist | 6310 San Vicente Blvd, #410, Los Angeles, CA 90048-5426 | 2014-08-13 |
| 1023428521 | Pacific Rejuvenation Medical, A Professional Corp. | Non-Pharmacy Dispensing Site | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2014-05-06 |
| 1477963403 | Beverly Hills Institute of Gastroenterology | Specialist | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2014-04-29 |
| 1396183778 | Women To Women Obgyn of Los Angeles | Specialist | 6310 San Vicente Blvd, Suite 330, Los Angeles, CA 90048-5426 | 2013-06-07 |
| 1982950291 | Kalina Benedict | Genetic Counselor, MS | 6310 San Vicente Blvd, Los Angeles, CA 90048-5426 | 2012-07-24 |
| 1851669741 | San Vicente Women's Total Health Center Inc | Specialist | 6310 San Vicente Blvd, Ste220, Los Angeles, CA 90048-5426 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on SHARO S RAISSI MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.