OrganizationActive
Advanced Vein Therapeutics
NPI 1508964024 · Cardiovascular Disease Physician · Rancho Mirage, CA
Provider details
- NPI number
- 1508964024
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Surindra Mitruka, Physician Partner(760) 568-4361
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
39000 Bob Hope Dr
K108
Rancho Mirage, CA 92270
Phone: (760) 568-3461
Fax: (760) 568-6470
Approximate (ZIP-level) locationGet directions
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.