Basic Information
| Provider Information | |||||||||
| NPI: | 1124066097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TANTUWAYA | ||||||||
| FirstName: | LOKESH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 236105 | ||||||||
| Address2: | |||||||||
| City: | ENCINITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920236105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8583002626 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7830 CLAIREMONT MESA BLVD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921111619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8583002626 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2006 | ||||||||
| LastUpdateDate: | 10/28/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | G79268 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.