Organization · NPI-2

A. R. Mohan, MD INC.

Surgery · Pomona, CA

NPI number1972740835
StatusActive
Last updated in NPPESJan 14, 2009

Details

NPI
1972740835
Entity type
Organization (NPI-2)
Legal business name
A. R. Mohan, MD INC.
Organization subpart
No
Enumeration date
Jan 14, 2009
Last updated
Jan 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryA37819CAYes
2086S0129X A37819CA

Practice location

1818 N Orange Grove Ave Ste 300
Pomona, CA 91767-3028

Phone 909-622-6050 · Fax 909-620-4632

Mailing address

1818 N Orange Grove Ave Ste 300
Pomona, CA 91767-3028

Phone 909-622-6050 · Fax 909-620-4632

Authorized official

Ayyampalayam Raju Mohan
Administrator
9096226050

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