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NPI Code Detail

MEDICARE: RACHEL ALFRED IRUDAYARAJ

MEDICARE: RACHEL ALFRED IRUDAYARAJ
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1174332845
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ALFRED IRUDAYARAJ
Provider Business Mailing Address
First Line : 1333 VALLEY VIEW RD APT 30
Second Line :
City : GLENDALE
State : CA
Zip : 91202-1734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2440 S SEPULVEDA BLVD STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1744
Country : US
Telephone Number : 800-426-6467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/24/2025

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Directions to “ RACHEL ALFRED IRUDAYARAJ ” Practice Location

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