Individual
JAYA SHREE RAJAGOPALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
(818) 452-9902
(818) 452-9882
Mailing address
12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
(818) 452-9902
(818) 452-9882
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
3107
TX
213E00000X
Podiatrist
Primary
5771
CA
Other
Enumeration date
05/21/2018
Last updated
04/24/2024
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