Mohan, Ayyampalayam Raju
Mohan, Ayyampalayam Raju is an sole proprietor health care provider with primary practice located at 1818 N Orange Grove Ave Suite 308, Pomona CA 91767-3028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mohan, Ayyampalayam Raju can be contacted via phone (909) 622-6050.Contact Information
Primary practice address
1818 N Orange Grove Ave Suite 308
Pomona CA 91767-3028
Phone: (909) 622-6050
Fax: (909) 620-4632
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | A37819 | California |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A37819 | California |
Profile Details
NPI number | 1407952229 |
---|---|
LBN Legal business name | Mohan, Ayyampalayam Raju |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407952229 | NPPES |
California | MEDICAID | 00A378190 |
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