Organization
COLORECTAL CENTER OF SAN DIEGO, INC.
Active
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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