Individual
RAJIV PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
959 E WALNUT ST, SUITE 120, PASADENA, CA 91106-1451
(626) 795-1831
(626) 795-2716
Mailing address
959 E WALNUT ST, SUITE 120, PASADENA, CA 91106-1451
(626) 795-1831
(626) 795-2716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57013586
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A112464
CA
207RP1001X
Pulmonary Disease Physician
Primary
A112464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A112464
—
CA
01
—
W481
MEDICARE GROUP
CA
Enumeration date
10/16/2007
Last updated
07/22/2025
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