Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003188061 |
---|---|
Provider Name | Ms. Sheava Rahimi |
First Address | Culver City, CA 90230-4820 |
Second Address | Inglewood, CA 90301-4502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2012 |
Last Update Date | 09/02/2012 |