Individual
DR. AYYAMPALAYAM RAJU MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 N ORANGE GROVE AVE, SUITE 308, POMONA, CA 91767-3028
(909) 622-6050
(909) 620-4632
Mailing address
1818 N ORANGE GROVE AVE, SUITE 308, POMONA, CA 91767-3028
(909) 622-6050
(909) 620-4632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A37819
CA
2086S0129X
Vascular Surgery Physician
Primary
A37819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A378190
—
CA
Enumeration date
09/16/2006
Last updated
09/11/2025
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