Provider Demographics
NPI:1508932047
Name:LASHAI, JEIRAN (LAC)
Entity Type:Individual
Prefix:MRS
First Name:JEIRAN
Middle Name:
Last Name:LASHAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 LUCRETIA AVE.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2642
Mailing Address - Country:US
Mailing Address - Phone:310-601-7482
Mailing Address - Fax:310-356-3511
Practice Address - Street 1:4443 SUNSET DR.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6043
Practice Address - Country:US
Practice Address - Phone:310-601-7482
Practice Address - Fax:310-356-3511
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist