# BAL M RAJAGOPALAN MD INC A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316062235
- **Authorized official:** DR. BAL M. RAJAGOPALAN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 247-0466

## Contact information

- **Practice address:** 8670 WILSHIRE BLVD, SUITE 206, BEVERLY HILLS, CA 90211-2924
- **Practice address phone:** (310) 247-0466
- **Practice address fax:** (310) 247-0782
- **Mailing address:** 9663 SANTA MONICA BLVD, PO 1600, BEVERLY HILLS, CA 90210-4303
- **Mailing address phone:** (310) 247-0466
- **Mailing address fax:** (310) 247-0782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 09/18/2019