Provider Type Icon

LALLA-REDDY MEDICAL COPORATION NPI 1376569277


NPI Information

NPI: 1376569277
Provider Name: LALLA-REDDY MEDICAL COPORATION
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 05D0577177

Address:
11180 WARNER AVE STE 353
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 968-6789
Get Directions

LALLA-REDDY MEDICAL COPORATION is an infectious disease internal medicine in Fountain Valley, CA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. LALLA-REDDY MEDICAL COPORATION NPI is 1376569277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11180 WARNER AVE STE 353
FOUNTAIN VALLEY, CA
ZIP 92708-516
Phone: (714) 968-6789
Fax: (714) 202-2626

The provider's authorized official is Sujata Lalla-reddy .
The authorized official title is President and has the following contact phone number (714) 968-6789.

The CLIA number assigned to this NPI record is 05D0577177 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 1/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseA75875CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ09634ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.