Individual
CRISTINA MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 THIRD AVE, CHULA VISTA, CA 91910-5616
(858) 499-2713
Mailing address
525 THIRD AVE, CHULA VISTA, CA 91910-5616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A147543
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
12/10/2019
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