NPI:
1366759904
Provider Name:
WILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION
Doing Business As: WILSHIRE CARDIOLOGY GROUP, INC.
Classification:
Internal Medicine - 207RC0000X
Entity Type:
Organization
Specialization: Cardiovascular Disease
CLIA Number: 05D2086133
Address:
500 S VIRGIL AVE
STE. 200
LOS ANGELES, CA
ZIP 90020
Phone:
(213) 387-8000
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WILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION is a cardiovascular disease internal medicine in Los Angeles, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION NPI is 1366759904. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wilshire Cardiology Group, Inc..
The provider's business location address is:
500 S VIRGIL AVE
STE. 200
LOS ANGELES, CA
ZIP 90020-446
Phone: (213) 387-8000
Fax: (213) 769-5004
The provider's authorized official is Steve Seekook Park .
The authorized official title is Owner and has the following contact phone number (213) 387-8000.
The CLIA number assigned to this NPI record is 05D2086133 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/2/2010 and was last updated on 12/2/2022.