Organization
VRIJESH S TANTUWAYA, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VRIJESH SHANTANU TANTUWAYA (PRESIDENT / NEUROLOGICAL SURGEON)
(858) 312-5016
Entity
Organization
Contact information
Practice address
13029 POMERADO RD STE B, POWAY, CA 92064-4246
(858) 312-5016
(858) 312-5018
Mailing address
PO BOX 26904, SAN DIEGO, CA 92196-0904
(858) 312-5016
(858) 312-5018
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A79530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A795300
—
CA
05
—
0557135
—
CA
Enumeration date
12/06/2006
Last updated
02/12/2026
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