Boutros, Raja B

Boutros, Raja B is an individual health care provider with primary practice located at 25485 Medical Center Dr #208, Murrieta CA 92562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Boutros, Raja B can be contacted via phone (951) 696-1818.

Contact Information

Primary practice address
25485 Medical Center Dr #208 Murrieta CA 92562
Phone: (951) 696-1818
Fax: (951) 696-2939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A499730 California

Profile Details

NPI number 1265535199
LBN Legal business name Boutros, Raja B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265535199 NPPES
California Other GR0091910 MEDICAL GROUP #
California Other 90050380 MEDICAL GROUP #
California MEDICAID 0693834 MEDICAL GROUP #
California Other 00A499730 MEDICAL GROUP #

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