Individual
ANAHA RAGHUNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-3200
Mailing address
10790 RANCHO BERNARDO RD, MAIL DROP 4S-305, SAN DIEGO, CA 92127-5705
(858) 554-3200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
05/15/2026
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