Individual
RADOSLAV IVOV RAYCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 W LA PALMA AVE STE 710, ANAHEIM, CA 92801-2814
(949) 448-0302
Mailing address
578 WASHINGTON BLVD # 5003, MARINA DEL REY, CA 90292-5421
(949) 448-0302
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A1079595
CA
2084V0102X
Vascular Neurology Physician
A1079595
CA
2085N0700X
Neuroradiology Physician
A107959
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A1079595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1079590
—
CA
Enumeration date
01/07/2009
Last updated
12/20/2024
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