RAISA HEIFETS MD NPI 1033208269

NPI Information

NPI: 1033208269
Provider Name: RAISA HEIFETS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
6027 YORK BLVD
LOS ANGELES, CA
ZIP 90042
Phone: (323) 256-1556
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Raisa Heifets, MD is a general practice in Los Angeles, CA. Raisa Heifets, MD NPI is 1033208269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6027 YORK BLVD
LOS ANGELES, CA
ZIP 90042-503
Phone: (323) 256-1556
Fax: (323) 256-1836

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A40429	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A29120	MEDICARE UPIN	CALIFORNIA
2	00A404290	MEDICAID	CALIFORNIA
3	A40429	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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