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NPI Code Detail

MEDICARE: DR. SANJA KRAJISNIK MD

MEDICARE: DR. SANJA KRAJISNIK MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA76485CA

General Provider Information

NPI Number : 1629003652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANJA KRAJISNIK MD
Provider Business Mailing Address
First Line : 2374 E PACIFICA PL
Second Line :
City : RANCHO DOMINGUEZ
State : CA
Zip : 90220-6214
Country : US
Telephone Number : 310-225-3244
Fax Number : 310-698-7054
Provider Business Practice Location Address
First Line : 2374 E PACIFICA PL
Second Line :
City : RANCHO DOMINGUEZ
State : CA
Zip : 90220-6214
Country : US
Telephone Number : 310-225-3244
Fax Number : 310-698-7054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 01/29/2016

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Directions to “ DR. SANJA KRAJISNIK MD” Practice Location

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