| Misra Medical Corp | |
|
16542 Ventura Blvd Ste 304 Encino CA 91436-5036 | |
| (818) 431-5511 | |
| Not Available |
| Full Name | Misra Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 16542 Ventura Blvd Ste 304, Encino, California |
| Authorized Official Name and Position | Sulagna Misra (OWNER) |
| Authorized Official Contact | 8184315511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misra Medical Corp 16542 Ventura Blvd Ste 304 Encino CA 91436-5036 | Misra Medical Corp 16542 Ventura Blvd Ste 304 Encino CA 91436-5036 Ph: (818) 431-5511 |
| NPI Number | 1124730007 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124730007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 202D00000X | Integrative Medicine | (NU) | Secondary |
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