Healthcare Provider Details

I. General information

NPI: 1891055075
Provider Name (Legal Business Name): NEHA TALREJA SUDOL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. NEHA TALREJA

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 01/12/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 E LA PALMA AVE
ANAHEIM CA
92806-2020
US

IV. Provider business mailing address

333 THE CITY DRIVE WEST SUITE 1400
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-644-2000
  • Fax:
Mailing address:
  • Phone: 714-456-6807
  • Fax: 714-456-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA141471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: