| NPI | 1508964024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINDRA N MITRUKA Physician Partner 760-568-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |