Devaraj, Reena

Devaraj, Reena is an individual health care provider with primary practice located at 16420 Perris Blvd Ste Q , Moreno Valley CA 92551-1136. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Devaraj, Reena can be contacted via phone (951) 571-2450.

Contact Information

Primary practice address
16420 Perris Blvd Ste Q Moreno Valley CA 92551-1136
Fax: (915) 571-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A118890 California

Profile Details

NPI number 1962677146
LBN Legal business name Devaraj, Reena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Sep 23rd, 2015 - about 10 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 1962677146 NPPES
California MEDICAID 1962677146

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