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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235213901 NPPES
California Other RN357727 MEDI-CAL

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