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Organization

ESRAIL MEDICAL CORPRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFI ISRAEL M.D. (OWNER)
(310) 276-3450
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A72843
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841215803
NPI
01
A72843
MEDICAL LICENSE
CA
Enumeration date
04/25/2012
Last updated
04/25/2012
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