person
Raisa Heifets, MD
General Practice Physician in Los Angeles, California
NPI 1033208269

Raisa Heifets is a General Practice Physician based in Los Angeles, CA. Raisa Heifets practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Raisa Heifets is 1033208269 and holds a License No. A40429 (California).

The current practice location address for Raisa Heifets is 6027 York Blvd, Los Angeles, CA and can be reached out via phone at 323-256-1556 and via fax at 323-256-1836.

Location: 6027 York Blvd, Los Angeles, CA, 90042-3503
person
Provider Profile Details
NPI Number
1033208269
Provider Name
Raisa Heifets
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6027 York Blvd, Los Angeles, CA, 90042-3503
Phone Number
323-256-1556
Fax Number
323-256-1836
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A404290 05 CA
institution
Provider Business Practice Location Address Details
Address
6027 York Blvd
City
State
Zip
90042-3503
Phone Number
323-256-1556
Fax Number
323-256-1836
person
Provider Business Mailing Address Details
Address
6027 York Blvd
City
State
Zip
90042-3503
Phone Number
323-256-1556
Fax Number
323-256-1836
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A40429 (California)
Definition
Definition to come...
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