Howard, Raisa
Howard, Raisa is an individual health care provider with primary practice located at 2284 E Maple Ave , El Segundo CA 90245-6507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Howard, Raisa can be contacted via phone (310) 414-9761.Contact Information
Primary practice address
2284 E Maple Ave
El Segundo CA 90245-6507
Phone: (310) 414-9761
Fax: (310) 414-9765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 6214 | California |
Profile Details
NPI number | 1235213901 |
---|---|
LBN Legal business name | Howard, Raisa |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | Oct 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235213901 | NPPES |
California | Other | RN357727 | MEDI-CAL |
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