| Doctor Name: | DR. RAJIV VIJAYAKUMAR |
| NPI Number: | 1043598568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., D.P.T., M.S. |
| License Number: | 35584 |
| Business Practice Address: | 3916 Sepulveda Blvd Suite 208 Culver City, CA - 902304640 |
| Business Phone Number: | 3109455705 |
| Business Fax Number: | |
| Mailing Address: | 3916 Sepulveda Blvd, Suite 208 CULVER CITY |
| State: | CA |
| Postal Code: | 902304640 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2011 |
| NPI Last Update Date: | 08/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 35584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |