SOUTH BAY CARDIOVASCULAR MEDICAL GROUP INC NPI 1003148073

NPI Information

SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC is a specialist in San Jose, 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. SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC NPI is 1003148073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 N BASCOM AVE
SUITE 204
SAN JOSE, CA
ZIP 95128-811
Phone: (408) 918-0400
Fax: (408) 286-2922

The provider's authorized official is Mohammad Shenasa .
The authorized official title is Owner and has the following contact phone number (408) 918-0400.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 8/30/2017.

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:

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