Provider Demographics
NPI:1871641985
Name:RAKER, BESS K (MD)
Entity Type:Individual
Prefix:DR
First Name:BESS
Middle Name:K
Last Name:RAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3102
Mailing Address - Country:US
Mailing Address - Phone:310-854-0770
Mailing Address - Fax:
Practice Address - Street 1:8530 WILSHIRE BLVD
Practice Address - Street 2:SUITE 520
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3102
Practice Address - Country:US
Practice Address - Phone:310-854-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73547174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist