Provider Demographics
NPI:1013968312
Name:DUGEL, RAJ U (MD)
Entity Type:Individual
Prefix:
First Name:RAJ
Middle Name:U
Last Name:DUGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21213 HAWTHORNE BLVD
Mailing Address - Street 2:PMB 5472
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5522
Mailing Address - Country:US
Mailing Address - Phone:310-937-6585
Mailing Address - Fax:310-542-3809
Practice Address - Street 1:4825 TORRANCE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4134
Practice Address - Country:US
Practice Address - Phone:310-937-6585
Practice Address - Fax:310-542-3809
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2021-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA330765473174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist