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Organization
MISRA MEDICAL CORP
Active
Organization
MISRA MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULAGNA MISRA MD (OWNER)
(818) 431-5511
Entity
Organization
Contact information
Practice address
16542 VENTURA BLVD STE 304, ENCINO, CA 91436-5036
(818) 431-5511
Mailing address
16542 VENTURA BLVD STE 304, ENCINO, CA 91436-5036
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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