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SOUTH VALLEY HEART CENTER INC NPI 1215960828


NPI Information

NPI: 1215960828
Provider Name: SOUTH VALLEY HEART CENTER, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
16661 VENTURA BLVD
STE 820
ENCINO, CA
ZIP 91436
Phone: (818) 990-1445
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SOUTH VALLEY HEART CENTER, INC is a cardiovascular disease internal medicine in Encino, 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. SOUTH VALLEY HEART CENTER, INC NPI is 1215960828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16661 VENTURA BLVD
STE 820
ENCINO, CA
ZIP 91436-914
Phone: (818) 990-1445
Fax: (818) 990-1444

The provider's authorized official is Daniel Shahab Manavi .
The authorized official title is President and has the following contact phone number (818) 990-1445.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/28/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G698750MEDICAIDCALIFORNIA
200G69875OTHERCALIFORNIABLUE SHIELD
3W19457MEDICARE PINCALIFORNIA

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

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.