Provider Demographics
NPI:1427227917
Name:RAJA, REKHA (DO)
Entity Type:Individual
Prefix:DR
First Name:REKHA
Middle Name:
Last Name:RAJA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 CHESEBRO ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2277
Mailing Address - Country:US
Mailing Address - Phone:818-300-9495
Mailing Address - Fax:818-707-1311
Practice Address - Street 1:5016 CHESEBRO ROAD
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2277
Practice Address - Country:US
Practice Address - Phone:818-528-6161
Practice Address - Fax:818-991-1200
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A74342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry