Individual
RENU JIVRAJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
100 STEIN PLZ, LOS ANGELES, CA 90095-0001
(310) 825-3090
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-3090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A113389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1133890
—
CA
01
—
390200000X
STUDENT, HEALTH CARE
CA
05
—
HH400Z
—
CA
Enumeration date
08/10/2009
Last updated
07/08/2013
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