Individual ProviderRajiv KumarPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address30423 Canwood St Ste 118, Agoura Hills, CA 91301-4314(818) 707-2130PECOS EnrollmentBased on the most recent information from CMS, provider Rajiv Kumar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1689681173Provider TypeIndividualFull NameKumar, RajivCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date8/1/2006Last Updated12/30/2011Contact InformationPractice LocationPractice Address30423 Canwood St Ste 118, Agoura Hills, CA 91301-4314Phone(818) 707-2130Fax(818) 707-2131Mailing LocationMailing Address30423 Canwood St Ste 140, Agoura Hills, CA 91301-4315Phone(818) 707-2130Fax(818) 707-2131Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseC50669CaliforniaProvider IdentifiersIDDescriptionIssuerID00C506690DescriptionMedicaidIssuerUnlistedCalifornia