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1710077136
SRIDHARA K S IYENGAR
FOUNTAIN VALLEY, CA
NPI
1710077136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA C42391)
Enumeration Date
2006-10-14
Last Update Date
2009-10-06
Business Address
SRIDHARA K S IYENGAR MD
11100 WARNER AVE # 320
FOUNTAIN VALLEY, CA 92708-7511
Phone number: 714-549-1294
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Mailing Address
SRIDHARA K S IYENGAR MD
11100 WARNER AVE # 320
FOUNTAIN VALLEY, CA 92708-7511
Phone number: 714-549-1294
Copy
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