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LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP NPI 1710214234


NPI Information

NPI: 1710214234
Provider Name: LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0704305

Address:
11645 WILSHIRE BLVD.
SUITE 825
LOS ANGELES, CA
ZIP 90025
Phone: (310) 207-3320
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LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOS ANGELES CARDIOVASCULAR CONSULTANTS MEDICAL GROUP NPI is 1710214234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11645 WILSHIRE BLVD.
SUITE 825
LOS ANGELES, CA
ZIP 90025
Phone: (310) 207-3320

The provider's authorized official is Richard Hyman .
The authorized official title is President and has the following contact phone number (310) 207-3320.

The CLIA number assigned to this NPI record is 05D0704305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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