Individual
MR. SIBU RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16907 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 366-4626
(818) 366-4630
Mailing address
16907 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 366-4626
(818) 366-4630
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 19141
CA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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