Individual
MR. AJAY KUMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6719 ALVARADO RD STE 201, SAN DIEGO, CA 92120-5257
(847) 454-6272
Mailing address
6719 ALVARADO RD STE 201, SAN DIEGO, CA 92120-5257
(847) 454-6272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95169097
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026821
CA
Other
Enumeration date
08/13/2018
Last updated
08/23/2023
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