Individual
RAE A JOSELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8101
Mailing address
2121 SANTA MONICA BLVD, DEPARTMENT OF PATHOLOGY, SANTA MONICA, CA 90404-2303
(310) 829-8101
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G47140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G471400
—
CA
Enumeration date
05/08/2006
Last updated
04/29/2015
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