Organization
OLDE DEL MAR SURGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL BHOYRUL MD (PRESIDENT)
(858) 457-4917
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 570, LA JOLLA, CA 92037-1224
(858) 457-4917
Mailing address
9850 GENESEE AVE, SUITE 570, LA JOLLA, CA 92037-1224
(858) 457-4917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
10/13/2022
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