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Organization
SUDHA MOOLA MD INC
Active
Organization
SUDHA MOOLA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA MOOLA M.D (PRESIDENT)
(951) 732-7834
Entity
Organization
Contact information
Practice address
3975 JACKSON ST, 208, RIVERSIDE, CA 92503-3901
(951) 732-7834
(951) 352-7758
Mailing address
1240 LAS VENTANAS WAY, RIVERSIDE, CA 92508-8722
(951) 732-7834
(951) 352-7758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A101361
CA
261QP2300X
Primary Care Clinic/Center
A101361
CA
Other
Enumeration date
05/21/2012
Last updated
05/30/2012
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