Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A89139 | CA |
N | 111NI0900X | Internist | A89139 | CA |
N | 207RC0200X | Critical Care Medicine | A89139 | CA |
N | 207RG0300X | Geriatric Medicine | A89139 | CA |
Y | 207RP1001X | Pulmonary Disease | A89139 | CA |
NPI | 1023050135 |
---|---|
Provider Name | Saadah Alrajab |
First Address | Fullerton, CA 92831 |
Second Address | Fullerton, CA 92831-3187 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 22/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A891390 | (05) | CA |