# RENJIT SUNDHARRADAS MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467720672
- **Authorized official:** RENJIT ALLEN SUNDHARADAS MD (OWNER)
- **Authorized official phone:** (858) 216-4425

## Contact information

- **Practice address:** 1030 LA BONITA AVE, SUITE 316, SAN MARCOS, CA 92078-5291
- **Practice address phone:** (858) 216-4425
- **Practice address fax:** (858) 216-4371
- **Mailing address:** PO BOX 2858, LANCASTER, CA 93539-2858
- **Mailing address phone:** (858) 216-4425
- **Mailing address fax:** (858) 216-4371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A96240 | CA | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | A96240 | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A96240 | CA | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 06/12/2012