Individual
ALISSA RAYE SHAHROKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1950 E 17TH ST, SANTA ANA, CA 92705-6852
(714) 547-5375
Mailing address
3700 S PLAZA DR APT D104, SANTA ANA, CA 92704-7446
(253) 213-8278
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
757782
CA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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