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Individual

DR. SUJATA LALLA-REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9940 TALBERT AVE STE 101, FOUNTAIN VALLEY, CA 92708-5153
(949) 478-1894
(949) 296-9878
Mailing address
PO BOX 11629, NEWPORT BEACH, CA 92658-5036
(714) 968-6789
(714) 202-2626

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A75875
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A758750
CA
Enumeration date
07/14/2006
Last updated
02/18/2026
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