Organization
PACIFIC NEUROLOGY CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN VENKATARATNA TADIKONDA M.D. (PRESIDENT)
(562) 365-3022
Entity
Organization
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
Enumeration date
02/26/2007
Last updated
03/03/2020
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