Organization
A. R. MOHAN, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYYAMPALAYAM RAJU MOHAN MD (ADMINISTRATOR)
(909) 622-6050
Entity
Organization
Contact information
Practice address
1818 N ORANGE GROVE AVE STE 300, POMONA, CA 91767-3028
(909) 622-6050
(909) 620-4632
Mailing address
1818 N ORANGE GROVE AVE STE 300, POMONA, CA 91767-3028
(909) 622-6050
(909) 620-4632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A37819
CA
2086S0129X
Vascular Surgery Physician
A37819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A37819
—
CA
Enumeration date
01/14/2009
Last updated
01/14/2009
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