Individual
DR. RAJ S AHLUWALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15211 VANOWEN ST, STE 207, VAN NUYS, CA 91405-3621
(818) 392-8620
Mailing address
PO BOX 101673, SUITE 300, PASADENA, CA 91189-0001
(818) 392-8620
(818) 989-0780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A96910
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A96910
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96910
LICENSE
CA
Enumeration date
01/26/2007
Last updated
01/20/2016
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