Individual
DR. MOHAN V. TADIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3191 OAK KNOLL DR, LOS ALAMITOS, CA 90720-4516
(562) 365-3022
(888) 596-7302
Mailing address
PO BOX 6007, LONG BEACH, CA 90806-0007
(562) 365-3022
(888) 596-7302
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A85738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462050
—
IN
Enumeration date
06/18/2006
Last updated
03/24/2015
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