George M Rajacich Md Inc in Van Nuys - Eyewear Supplier
George M Rajacich Md Inc - NPI 1811964653
George M Rajacich Md Inc is a Eyewear Supplier in Van Nuys, California. George M Rajacich Md Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for George M Rajacich Md Inc is 1811964653. The last update date is 2008-08-07.
George M Rajacich Md Inc's current location address is 14914 Sherman Way, Van Nuys, California. You can contact this provider via phone number 8187872020 and fax number 8187878652. The mailing address for George M Rajacich Md Inc is 14914 Sherman Way, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | George M Rajacich Md Inc |
|---|---|
| Address | 14914 Sherman Way, Van Nuys, California |
| Phone Number | 8187872020 |
| Fax Number | 8187878652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rajacich M George |
| Credentials | M.D. |
| Telephone Number | 8187872020 |
NPI Number Detail
| NPI Number | 1811964653 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 14914 Sherman Way |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914052113 |
| Phone Number | 8187872020 |
| Fax Number | 8187878652 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | G044103 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0063310 | CA | -- | |
| ZZZ91696Z | CA | BLUE SHIELD | |
| WG44103D | CA | PPIN NUMBER |
Post Comment/ Review Below
What is the George M Rajacich Md Inc's 1811964653?
The George M Rajacich Md Inc's NPI (National Provider Identifier) Number is 1811964653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where George M Rajacich Md Inc is physically located?
The George M Rajacich Md Inc is physically situated at the following address: 14914 Sherman Way, Van Nuys, CA, 914052113.
What is the George M Rajacich Md Inc's specialty and taxonomy code?
The George M Rajacich Md Inc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the George M Rajacich Md Inc receive the assignment of its 1811964653 from the Centers for Medicare & Medicaid Services?
The George M Rajacich Md Inc was issued its 1811964653 by the Centers for Medicare & Medicaid Services on 2006-03-01.
When was the information pertaining to George M Rajacich Md Inc most recently updated or revised?
The details related to George M Rajacich Md Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-07.