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General NPI Number Information
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NPI Number | 1699863225
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Entity Type | Individual
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Provider Name | RAJESH LAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 17822 BEACH BLVD SUITE 442
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7101
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Country | US
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Telephone | 714-847-3329
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Fax | 714-847-4085
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Provider Business Mailing Address
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Address Line | 14 TORREY PINES LN
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5139
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Country | US
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Telephone | 142-252-5557
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Fax | 714-847-4085
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A40353
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A40353
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License Number State | CA
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