Individual
NASIM HOLLY RAEISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14049 VENTURA BLVD, SHERMAN OAKS, CA 91423-3511
(747) 233-6108
Mailing address
18550 BURBANK BLVD APT 115, TARZANA, CA 91356-2619
(304) 685-4975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26467
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
85347
CA
Other
Enumeration date
09/06/2019
Last updated
06/03/2026
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