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Contact Information

RAJA B BOUTROS, MD
25485 MEDICAL CENTER DR
#208
MURRIETA, CA92562
 Phone: 951-696-1818
 Fax: 951-696-2939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for RAJA B BOUTROS · (Male)

NPI # 1265535199
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A499730
  • CA Medicaid 0693834
  • CA Other 00A499730 BLUE CROSS ID#
  • CA Other GR0091910 MEDICAL GROUP #
  • CA Other 90050380 PACIFICARE ID#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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