KIRAN MAHL-SANSONE, M.D., INC.
Osteopathic Medicine at Vista Way, Vista, CA

License number
California G77576
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
2067 W Vista Way SUITE 200, Vista, CA 92083
Phone
(760) 726-2180
(760) 726-9928 (Fax)
National Provider ID: 1245276815
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIRAN MAHL-SANSONE, M.D., INC

2067 W Vis Way SUITE 200, Vista, CA 92083

Industry:
Medical Doctor's Office, Internist
Doing business as:
Kiran Mahl-Sansone MD
Registration:
Aug 13, 1997
Phone:
(760) 726-2180 (Phone)
State ID:
C1909723
Business type:
Articles of Incorporation
President:
Kiran Mahl-Sansone (President)
Agent:
Kiran Mahl-Sansone,Vista, CA 92083 (Physical)

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