Individual
DR. RAVICHANDRA REDDY MUTYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2185 CITRACADO PKWY, CEP AMERICA, ESCONDIDO, CA 92029-4159
(442) 281-4047
(760) 480-0194
Mailing address
2185 CITRACADO PKWY, CEP AMERICA, ESCONDIDO, CA 92029-4159
(442) 281-4047
(760) 480-0194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127221
CA
208M00000X
Hospitalist Physician
Primary
A127221
CA
Other
Enumeration date
08/07/2012
Last updated
12/03/2021
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