MEDICARE: RAJA DHALLA 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
1	207X00000X	Orthopaedic Surgery Physician	A73993	CA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	A73993	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730157876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJA DHALLA MD

Provider Business Mailing Address
First Line	:	4343 MARKET ST
Second Line	:	STE A
City	:	RIVERSIDE
State	:	CA
Zip	:	92501-3567
Country	:	US
Telephone Number	:	909-398-1550
Fax Number	:	909-398-1573

Provider Business Practice Location Address
First Line	:	1866 N ORANGE GROVE AVE
Second Line	:	STE 202
City	:	POMONA
State	:	CA
Zip	:	91767-3031
Country	:	US
Telephone Number	:	909-623-8796
Fax Number	:	909-623-3076

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/04/2017

Similar Medicare Providers

1003817537 — KENNETH SPIERS BROWN MD
Practice Location Address:

1866 N ORANGE GROVE AVE , STE 102
POMONA, CA
91767-3031

Practice Phone: 909-620-4373
Practice Fax: 909-620-7179

1821064007 — TOM Y MOY MD
Practice Location Address:

1866 N ORANGE GROVE AVE , #202
POMONA, CA
91767-3031

Practice Phone: 909-623-8796
Practice Fax: 909-623-3076

1134197528 — EWA HANNA KONCA MD
Practice Location Address:

520 W. FOOTHILL BLVD , SUITE A
POMONA, CA
91767-3031

Practice Phone: 909-622-3065
Practice Fax: 909-784-3399

1679541148 — MUTHUSAMY MUTHIAH MD
Practice Location Address:

1866 N ORANGE GROVE AVE , SUITE 202
POMONA, CA
91767-3031

Practice Phone: 909-623-8796
Practice Fax: 909-623-3076

1841268240 — DR. RAMA KRISHNA THUMATI MD
Practice Location Address:

1866 N ORANGE GROVE AVE , SUITE 202
POMONA, CA
91767-3031

Practice Phone: 909-623-8796
Practice Fax: 909-623-3076

1275501629 — ROBERT CHESTER JONES MD
Practice Location Address:

1866 N ORANGE GROVE AVE , SUITE 102
POMONA, CA
91767-3031

Practice Phone: 909-865-0676
Practice Fax: 909-865-8483

Directions to “ RAJA DHALLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.