Organization
CONSENSUS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VRIJESH S TANTUWAYA MD (OWNER)
(858) 312-5016
Entity
Organization
Contact information
Practice address
12630 MONTE VISTA RD, SUITE 105, POWAY, CA 92064-2530
(858) 312-5016
(858) 312-5018
Mailing address
PO BOX 1114, POWAY, CA 92074-1114
(858) 312-5016
(858) 312-5018
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A79530
CA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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