Provider Demographics
NPI:1023050135
Name:ALRAJAB, SAADAH (MD)
Entity type:Individual
Prefix:
First Name:SAADAH
Middle Name:
Last Name:ALRAJAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 E CHAPMAN AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831
Mailing Address - Country:US
Mailing Address - Phone:714-481-0172
Mailing Address - Fax:562-445-4140
Practice Address - Street 1:2501 E CHAPMAN AVE STE 225
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3187
Practice Address - Country:US
Practice Address - Phone:714-481-0172
Practice Address - Fax:562-445-4140
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89139207R00000X, 207RC0200X, 207RG0300X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A891390Medicaid
CA00A891392Medicare PIN
CA00A891391Medicare PIN