Organization
COLORECTAL CENTER OF SAN DIEGO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHRUVIL PRADIP GANDHI M.D. (PRESIDENT)
(760) 691-9733
Entity
Organization
Contact information
Practice address
2095 W VISTA WAY, SUITE 106, VISTA, CA 92083-6027
(760) 691-9733
(760) 477-6056
Mailing address
2095 W VISTA WAY, SUITE 106, VISTA, CA 92083-6027
(760) 477-6056
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A103200
CA
Other
Enumeration date
01/09/2013
Last updated
01/29/2013
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