# GEORGE M. RAJACICH, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Eye Center Surgical Med Grp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659378313
- **Authorized official:** EDWARD CHUNG (ADMINISTRATOR)
- **Authorized official phone:** (818) 275-0009

## Contact information

- **Practice address:** 14624 SHERMAN WAY STE 508, VAN NUYS, CA 91405-2289
- **Practice address phone:** (818) 787-2020
- **Practice address fax:** (818) 787-8652
- **Mailing address:** 14624 SHERMAN WAY STE 508, VAN NUYS, CA 91405-2289
- **Mailing address phone:** (818) 787-2020
- **Mailing address fax:** (818) 787-8652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | CA | — |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 06/22/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0063313 | — | CA |
| 01 | — | ZZZ91696Z | BLUE SHIELD | CA |