Provider Demographics
NPI:1891515953
Name:DEL SUR HEALTHCARE
Entity type:Organization
Organization Name:DEL SUR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ABOO
Authorized Official - Middle Name:
Authorized Official - Last Name:NASAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-502-1061
Mailing Address - Street 1:436 S MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-5237
Mailing Address - Country:US
Mailing Address - Phone:725-502-1061
Mailing Address - Fax:
Practice Address - Street 1:436 S MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-5237
Practice Address - Country:US
Practice Address - Phone:725-502-1061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty