Healthcare Provider Details

I. General information

NPI: 1629925086
Provider Name (Legal Business Name): REALITY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1428 2ND ST # 400
SANTA MONICA CA
90401-3427
US

IV. Provider business mailing address

1428 2ND ST # 400
SANTA MONICA CA
90401-3427
US

V. Phone/Fax

Practice location:
  • Phone: 310-963-7690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TARUN SUNDER RAJ
Title or Position: PRESIDENT
Credential:
Phone: 626-399-2124