Individual
DR. SAMUEL JOHN N RAJARATNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16152 BEACH BLVD STE 200, HUNTINGTON BEACH, CA 92647-3869
(714) 841-6772
(714) 841-6775
Mailing address
23509 RIDGE LINE RD, DIAMOND BAR, CA 91765-3008
(714) 553-4592
(714) 841-6775
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A51207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VERD214
STAFF#
CA
Enumeration date
01/25/2007
Last updated
04/11/2017
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