# ISHI MEDICAL GROUP OF CALIFORNIA PC

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

## Provider details

- **NPI number:** 1912754581
- **Authorized official:** DR. AJAY VENKATESH SRIVASTAVA MD (CARDIOLOGIST)
- **Authorized official phone:** (203) 415-7473

## Contact information

- **Practice address:** 1440 COLUMBIA ST, SAN DIEGO, CA 92101-3408
- **Practice address phone:** (844) 989-4744
- **Mailing address:** 1440 COLUMBIA ST, SAN DIEGO, CA 92101-3408
- **Mailing address phone:** (844) 989-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | NULL | Yes |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2024
- **Last updated:** 01/12/2025