Healthcare Provider Details

I. General information

NPI: 1063894350
Provider Name (Legal Business Name): RAWAN ALOSAIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 WILSHIRE BLVD SUITE 800
LOS ANGELES CA
90017-3909
US

IV. Provider business mailing address

10565 CIVIC CENTER DRIVE SUITE 250
RANCHO CUCAMONGA CA
91730-3854
US

V. Phone/Fax

Practice location:
  • Phone: 213-839-1119
  • Fax: 213-839-1120
Mailing address:
  • Phone: 404-542-9927
  • Fax: 626-696-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA202154
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA202154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: