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NPI Code Detail

MEDICARE: MEENA RAI

MEDICARE:   MEENA  RAI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95031758CA

General Provider Information

NPI Number : 1093548018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEENA RAI
Provider Business Mailing Address
First Line : PO BOX 49693
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-0693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD STE 180
Second Line :
City : PASADENA
State : CA
Zip : 91101-6144
Country : US
Telephone Number : 424-487-4976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2024
Last Update Date : 02/03/2026

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Directions to “ MEENA RAI ” Practice Location

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