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George M Rajacich Md Inc
Eyewear Supplier in Van Nuys, California
NPI 1811964653

George M Rajacich Md Inc is a Eyewear Supplier based in Van Nuys, CA. George M Rajacich Md Inc practices in Van Nuys, CA. The NPI Number for George M Rajacich Md Inc is 1811964653 and holds a License No. G044103 (California).

The current practice location address for George M Rajacich Md Inc is 14914 Sherman Way, Van Nuys, CA and can be reached out via phone at 818-787-2020 and via fax at 818-787-8652.

Location: 14914 Sherman Way, Van Nuys, CA, 91405-2113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811964653
Provider Name
George M Rajacich Md Inc
Credential
Provider Entity Type
Organization
Address
14914 Sherman Way, Van Nuys, CA, 91405-2113
Phone Number
818-787-2020
Fax Number
818-787-8652
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0063310 05 CA
ZZZ91696Z 01 CA BLUE SHIELD
WG44103D 01 CA PPIN NUMBER
institution
Provider Business Practice Location Address Details
Address
14914 Sherman Way
City
Van Nuys
State
California
Zip
91405-2113
Phone Number
818-787-2020
Fax Number
818-787-8652
person
Provider Business Mailing Address Details
Address
14914 Sherman Way
City
Van Nuys
State
California
Zip
91405-2113
Phone Number
818-787-2020
Fax Number
818-787-8652
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
G044103 (California)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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