Organization
KIRAN MAHL-SANSONE M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SCOTT (BILLING SPECIALIST)
(760) 726-2180
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, SUITE 200, VISTA, CA 92083-6031
(760) 726-2180
(760) 726-9928
Mailing address
2067 W VISTA WAY, SUITE 200, VISTA, CA 92083-6031
(760) 726-2180
(760) 726-9928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77576
CA
Other
Enumeration date
06/18/2006
Last updated
09/18/2017
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