Provider Demographics
NPI:1154494201
Name:SHAMSA, RASHEL (DDS)
Entity type:Individual
Prefix:DR
First Name:RASHEL
Middle Name:
Last Name:SHAMSA
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4164 CLEAR VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-3314
Mailing Address - Country:US
Mailing Address - Phone:310-555-4343
Mailing Address - Fax:818-994-1092
Practice Address - Street 1:4164 CLEAR VALLEY DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-3314
Practice Address - Country:US
Practice Address - Phone:310-555-4343
Practice Address - Fax:818-994-1092
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA542071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice