| Wasim H Raja MD | |
|
11100 Warner Ave Ste 110 Fountain Valley CA 92708-7500 | |
| (714) 486-3477 | |
| (833) 334-0495 |
| Full Name | Wasim H Raja MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 11100 Warner Ave Ste 110, Fountain Valley, California |
| Authorized Official Name and Position | Wasim H Raja (MD) |
| Authorized Official Contact | 9169344002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasim H Raja MD 11100 Warner Ave Ste 110 Fountain Valley CA 92708-7500 Ph: (714) 486-3477 | Wasim H Raja MD 11100 Warner Ave Ste 110 Fountain Valley CA 92708-7500 Ph: (714) 486-3477 |
| NPI Number | 1083257968 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Medicare PECOS PAC ID | 2163858051 |
|---|---|
| Medicare Enrollment ID | O20200213001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083257968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Wasim H. Raja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205022084 PECOS PAC ID: 6507952074 Enrollment ID: I20110623000432 |
Citrus Medical Clinic Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10900 Warner Ave Ste 111, Fountain Valley, CA 92708 Phone: 714-369-2554 |
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Regenerative Optimum Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 257, Fountain Valley, CA 92708 Phone: 714-885-8980 Fax: 714-434-0790 |
Valley View Comprehensive Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17220 Newhope St Ste 125-126, Fountain Valley, CA 92708 Phone: 562-412-8863 |
Prohealth Partners a Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave Ste 353, Fountain Valley, CA 92708 Phone: 714-406-0185 Fax: 310-763-7573 |