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Organization
DURGA MEDICAL CORPORATION
Active
Organization
DURGA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANYASI R GANTA MD (PRESIDENT)
(951) 925-6657
Entity
Organization
Contact information
Practice address
850 E LATHAM AVE, SUITE 201, HEMET, CA 92543
(951) 925-6657
(951) 929-0907
Mailing address
850 E LATHAM AVE, SUITE 201, HEMET, CA 92543
(951) 925-6657
(951) 929-0907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A70985
CA
282NR1301X
Rural Acute Care Hospital
Primary
A70985
CA
310400000X
Assisted Living Facility
A70985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A709850
—
CA
Enumeration date
01/15/2007
Last updated
12/16/2009
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