Healthcare Provider Details

I. General information

NPI: 1740190685
Provider Name (Legal Business Name): SUNIL BHOYRUL MD INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 570
LA JOLLA CA
92037
US

IV. Provider business mailing address

3830 VALLEY CENTRE DR STE 705
SAN DIEGO CA
92130-3307
US

V. Phone/Fax

Practice location:
  • Phone: 858-342-7814
  • Fax:
Mailing address:
  • Phone: 858-342-7814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086P0122X
TaxonomyPhysician Nutrition Specialist (Surgery)
License Number
License Number State

VIII. Authorized Official

Name: SUNIL BHOYRUL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 858-342-7814