Provider Demographics
NPI:1548987647
Name:MARIKO C RAJAMAND PLLC
Entity type:Organization
Organization Name:MARIKO C RAJAMAND PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIKO
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAJAMAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:562-212-6769
Mailing Address - Street 1:5448 RENO CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2620
Mailing Address - Country:US
Mailing Address - Phone:775-993-9292
Mailing Address - Fax:775-993-9293
Practice Address - Street 1:5448 RENO CORPORATE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2620
Practice Address - Country:US
Practice Address - Phone:775-993-9292
Practice Address - Fax:775-993-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty