Shera E Raisen


Address: 11704 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1510
Phone: 3104589200

Shera E Raisen (NPI# 1669515649, PAC ID# 3870541659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1669515649
PAC ID by PECOS 3870541659
Professional Enrollment ID I20081015000773
Full Name Shera E Raisen
Address 11704 Wilshire Blvd
Suite 200
Los Angeles
CA 90025-1510
Phone Number 3104589200
Gender F
Medical School MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK
Graduation Year 1992
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
11704 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1510 3104589200

Organization Information

Office Location

Street Address 11704 WILSHIRE BLVD
SUITE 200
City LOS ANGELES
State CA
Zip 90025-1510

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Competitor

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City LOS ANGELES
Zip Code 90025
Specialty FAMILY MEDICINE
City + Specialty LOS ANGELES + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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