Organization
LALLA-REDDY MEDICAL COPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATA LALLA-REDDY M.D (PRESIDENT)
(949) 478-1894
Entity
Organization
Contact information
Practice address
9940 TALBERT AVE STE 101, FOUNTAIN VALLEY, CA 92708-5153
(877) 699-6743
(949) 298-9878
Mailing address
PO BOX 11629, NEWPORT BEACH, CA 92658-5036
(877) 699-6743
(949) 298-9878
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A75875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ09634Z
—
CA
Enumeration date
07/14/2006
Last updated
03/20/2026
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