Individual
VINOD JIVRAJKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3621 MARTIN LUTHER KING JR BLVD, SUITE 15, LYNWOOD, CA 90262-3512
(310) 604-0443
(310) 604-3367
Mailing address
3621 MARTIN LUTHER KING JR BLVD, SUITE 15, LYNWOOD, CA 90262-3512
(310) 604-0443
(310) 604-3367
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A41517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A415170
—
CA
Enumeration date
07/07/2005
Last updated
07/08/2007
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