# ESRAIL MEDICAL CORPRATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174881304
- **Authorized official:** RAFI ISRAEL M.D. (OWNER)
- **Authorized official phone:** (310) 276-3450

## Contact information

- **Practice address:** 9025 WILSHIRE BLVD, SUITE 209, BEVERLY HILLS, CA 90211-1831
- **Practice address phone:** (310) 276-3450
- **Practice address fax:** (310) 276-3548
- **Mailing address:** 9025 WILSHIRE BLVD, SUITE 209, BEVERLY HILLS, CA 90211-1831
- **Mailing address phone:** (310) 276-3450
- **Mailing address fax:** (310) 276-3548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A72843 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 04/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841215803 | NPI | — |
| 01 | — | A72843 | MEDICAL LICENSE | CA |