MEDICARE: DR. T.S.S RAJAN M.D

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
1	207R00000X	Internal Medicine Physician	A26101	CA
2	207RC0000X	Cardiovascular Disease Physician	A26101	CA

General Provider Information

NPI Number	:	1396786653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. T.S.S RAJAN M.D

Provider Business Mailing Address
First Line	:	15581 BROOKHURST ST
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-7554
Country	:	US
Telephone Number	:	714-839-2122
Fax Number	:	714-377-1776

Provider Business Practice Location Address
First Line	:	1410 W ALONDRA BLVD STE B
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90220-3533
Country	:	US
Telephone Number	:	310-885-1482
Fax Number	:	310-885-1423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/04/2017

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