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Organization

KUMAR S. RAJA, M.D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KUMAR SWAMY RAJA M.D (PRESIDENT)
(714) 875-9466
Entity
Organization

Contact information

Practice address
3562 VENTURE DR, HUNTINGTON BEACH, CA 92649-2536
(714) 875-9466
(714) 847-6864
Mailing address
3562 VENTURE DR, HUNTINGTON BEACH, CA 92649-7101
(714) 875-9466
(714) 847-6864

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A26451
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A264510
CA
Enumeration date
05/09/2007
Last updated
07/30/2014
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