Individual
SASHA RAVAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 CENTURY PARK E STE 1405, LOS ANGELES, CA 90067-2017
(310) 858-6500
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65327
CA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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