Provider Demographics
NPI:1831964287
Name:MARJI, RAJA HOURANI (OTR/L)
Entity type:Individual
Prefix:
First Name:RAJA
Middle Name:HOURANI
Last Name:MARJI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14454 SAN ESTEBAN DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-4330
Mailing Address - Country:US
Mailing Address - Phone:714-309-8351
Mailing Address - Fax:
Practice Address - Street 1:14454 SAN ESTEBAN DR
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-4330
Practice Address - Country:US
Practice Address - Phone:714-309-8351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT940225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist