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Organization
SANJAY S RAO MD A MEDICAL CORPORATION INC.
Active
Organization
SANJAY S RAO MD A MEDICAL CORPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY S RAO MD (OWNER)
(619) 740-4800
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, SHARP GROSSMONT HOSPITAL, LA MESA, CA 91942-3019
(619) 740-4800
(877) 588-7226
Mailing address
PO BOX 511353, LOS ANGELES, CA 90051-7908
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A92683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A92683
MEDICAL LICENSE
CA
Enumeration date
04/27/2012
Last updated
02/24/2021
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