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Organization

ISHI MEDICAL GROUP OF CALIFORNIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AJAY VENKATESH SRIVASTAVA MD (CARDIOLOGIST)
(203) 415-7473
Entity
Organization

Contact information

Practice address
1440 COLUMBIA ST, SAN DIEGO, CA 92101-3408
(844) 989-4744
Mailing address
1440 COLUMBIA ST, SAN DIEGO, CA 92101-3408
(844) 989-4744

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary

Other

Enumeration date
05/02/2024
Last updated
01/12/2025
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