Organization
SOOD KISRA, MD., PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOOD KISRA (OWNER)
(909) 713-2323
Entity
Organization
Contact information
Practice address
1800 WESTERN AVE STE 302, SAN BERNARDINO, CA 92411-1354
(909) 713-2323
Mailing address
10950 ARROW RTE, #1685, RANCHO CUCAMONGA, CA 91729
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
04/22/2019
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