MEDICARE: RESA LEE OSHIRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	A81953	CA

General Provider Information

NPI Number	:	1699818054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RESA LEE OSHIRO MD

Provider Business Mailing Address
First Line	:	120 S SPALDING DR STE 400
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-1842
Country	:	US
Telephone Number	:	310-860-3450
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 S SPALDING DR STE 400
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-1842
Country	:	US
Telephone Number	:	310-860-3450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	11/17/2011

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