Organization
GEORGE M. RAJACICH, M.D., INC.
Active
Other names
Valley Eye Center Surgical Med Grp
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHUNG (ADMINISTRATOR)
(818) 275-0009
Entity
Organization
Contact information
Practice address
14914 SHERMAN WAY, VAN NUYS, CA 91405-2113
(818) 787-2020
(818) 787-8652
Mailing address
14914 SHERMAN WAY, VAN NUYS, CA 91405-2113
(818) 787-2020
(818) 787-8652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063313
—
CA
01
—
ZZZ91696Z
BLUE SHIELD
CA
Enumeration date
07/07/2005
Last updated
08/22/2023
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