Individual
RAINA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD # B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-9520
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1782
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
20A17987
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
11/17/2022
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