Individual
DR. JAGADEESH C REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31852 COAST HWY, STE 201, LAGUNA BEACH, CA 92651-6765
(949) 715-0505
(949) 715-0508
Mailing address
25467 NELLIE GAIL RD, LAGUNA HILLS, CA 92653-6306
(949) 521-6060
(949) 521-6063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82683
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A82683
CA
207RI0200X
Infectious Disease Physician
Primary
A82683
CA
207RI0200X
Infectious Disease Physician
ME88635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269550200
—
FL
Enumeration date
06/27/2005
Last updated
11/27/2012
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