Organization
GEORGE M RAJACICH MD INC
Active
Other names
VALLEY EYE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M RAJACICH M.D. (PRESIDENT)
(818) 787-2020
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
332H00000X
Eyewear Supplier
Primary
G044103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063310
—
CA
01
—
WG44103D
PPIN NUMBER
CA
01
—
ZZZ91696Z
BLUE SHIELD
CA
Enumeration date
03/01/2006
Last updated
08/07/2008
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