Organization
LEGACY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAAHIL KAJANI MD (PRESIDENT)
(818) 620-2485
Entity
Organization
Contact information
Practice address
18350 ROSCOE BLVD STE 218, NORTHRIDGE, CA 91325-4153
(818) 620-2485
(818) 993-8158
Mailing address
18350 ROSCOE BLVD STE 218, NORTHRIDGE, CA 91325-4153
(818) 620-2485
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780245985
NPI
CA
Enumeration date
06/28/2024
Last updated
06/28/2024
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