Provider Demographics
NPI:1548591456
Name:ARUN BUDHRAJA MD INC
Entity Type:Organization
Organization Name:ARUN BUDHRAJA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDHRAJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-842-7794
Mailing Address - Street 1:17822 BEACH BLVD
Mailing Address - Street 2:SUITE 173
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7101
Mailing Address - Country:US
Mailing Address - Phone:714-842-7794
Mailing Address - Fax:714-847-8509
Practice Address - Street 1:17822 BEACH BLVD
Practice Address - Street 2:SUITE 173
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7101
Practice Address - Country:US
Practice Address - Phone:714-842-7794
Practice Address - Fax:714-847-8509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39298207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty