Reddy Care Medical

LBN: Mallu Reddy Md Inc
Reddy Care Medical is an health care organization with primary practice located at 1196 N Park Ave , Pomona CA 91768-3027. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Mallu Reddy Md Inc can be contacted via phone (909) 623-4050, or through Reddy, Mallu Chenna via phone (909) 623-4050.

Contact Information

Primary practice address
1196 N Park Ave Pomona CA 91768-3027
Phone: (909) 623-4050
Fax: (909) 620-5259
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Mallu Chenna Doctor of Medicine (MD)
Phone: (909) 623-4050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1902111834
LBN Legal business name Mallu Reddy Md Inc
DBA Doing business as Reddy Care Medical
Authorized official Reddy, Mallu Chenna Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2010
Last updated Aug 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902111834 NPPES
California MEDICAID 00A629580

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