Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY20161 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY20161 | CA |
NPI | 1003274390 |
---|---|
Provider Name | Dr. Chi Rajalingam |
First Address | Santa Ana, CA 92701-4546 |
Second Address | Santa Ana, CA 92701-4546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2016 |
Last Update Date | 02/02/2016 |