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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407952229 NPPES
California MEDICAID 00A378190

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