Provider Demographics
NPI:1538613740
Name:MALEKJAH, RASOUL (PHD/CLINICAL PSYCH)
Entity type:Individual
Prefix:DR
First Name:RASOUL
Middle Name:
Last Name:MALEKJAH
Suffix:
Gender:M
Credentials:PHD/CLINICAL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26131 MARGUERITE PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3161
Mailing Address - Country:US
Mailing Address - Phone:949-304-0911
Mailing Address - Fax:
Practice Address - Street 1:26131 MARGUERITE PKWY STE D
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3161
Practice Address - Country:US
Practice Address - Phone:949-304-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24792103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical