Organization
MDLEY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK RAJPOOT MD (PARTNER)
(775) 550-7401
Entity
Organization
Contact information
Practice address
806 AVENIDA PICO, SAN CLEMENTE, CA 92673-5639
(775) 550-7401
Mailing address
806 AVENIDA PICO, SAN CLEMENTE, CA 92673-5639
(775) 550-7401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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