SHERMAN OAKS CARDIOLOGY ASSOCIATES NPI 1043299654

NPI Information

NPI: 1043299654
Provider Name: SHERMAN OAKS CARDIOLOGY ASSOCIATES
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D0860255

Address:
4929 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 907-4530
Get Directions

SHERMAN OAKS CARDIOLOGY ASSOCIATES is a cardiovascular disease internal medicine in Sherman Oaks, 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. SHERMAN OAKS CARDIOLOGY ASSOCIATES NPI is 1043299654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4929 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403-702
Phone: (818) 907-4530
Fax: (818) 907-4530

The provider's authorized official is Roger Chang On .
The authorized official title is Chairman and has the following contact phone number (818) 783-0800.

The CLIA number assigned to this NPI record is 05D0860255 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 3/24/2008.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0050340	MEDICAID	CALIFORNIA
2	ZZZ36337A	OTHER	CALIFORNIA	BLUE SHIELD PROVIDER NUMB
3	HW11358	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »