Provider Demographics
NPI:1396207544
Name:BRAR, RAJPAL SINGH (DPT)
Entity Type:Individual
Prefix:DR
First Name:RAJPAL
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26357 MCBEAN PKWY
Mailing Address - Street 2:STE 250
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5503
Mailing Address - Country:US
Mailing Address - Phone:661-666-4412
Mailing Address - Fax:
Practice Address - Street 1:26357 MCBEAN PKWY
Practice Address - Street 2:STE 250
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5503
Practice Address - Country:US
Practice Address - Phone:661-666-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT2935222251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports