Provider Demographics
NPI:1568661221
Name:CEDARS SINAI MEDICAL CENTER
Entity Type:Organization
Organization Name:CEDARS SINAI MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THORACIC AORTIC SURGERY
Authorized Official - Prefix:
Authorized Official - First Name:SHARO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAISSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-423-3851
Mailing Address - Street 1:1612 S BUNDY DR APT 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD RM 6215
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-6429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16670282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital