SAN DIEGO HEART & MEDICAL CLINIC INC NPI 1083625016

NPI Information

SAN DIEGO HEART & MEDICAL CLINIC INC is a cardiovascular disease internal medicine in San Diego, 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. SAN DIEGO HEART & MEDICAL CLINIC INC NPI is 1083625016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3660 CLAIREMONT DR
STE 6
SAN DIEGO, CA
ZIP 92117
Phone: (858) 274-2560
Fax: (858) 274-1610

The provider's authorized official is Jack J Kleid .
The authorized official title is Physician President and has the following contact phone number (858) 274-2560.

The CLIA number assigned to this NPI record is 05D0889756 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/18/2015.

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:

Other Identifiers

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