Individual
RICHARD RASKIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 GREENFIELD AVENUE, LOS ANGELES, CA 90049-3205
(310) 472-3415
(310) 472-3415
Mailing address
108 GREENFIELD AVENUE, LOS ANGELES, CA 90049-3205
(310) 472-3415
(310) 472-3415
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GFE13271
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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