Individual
ANISHA RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 E LATHAM AVE STE A, HEMET, CA 92543-4424
(951) 652-5555
Mailing address
399 E HIGHLAND AVE STE 307, SAN BERNARDINO, CA 92404-3853
(909) 881-7400
(909) 881-5217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A115969
CA
207RC0000X
Cardiovascular Disease Physician
A115969
CA
207RI0011X
Interventional Cardiology Physician
Primary
A115969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285960872
—
CA
Enumeration date
11/02/2009
Last updated
09/26/2022
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