PACIFIC COAST CARDIOLOGY MEDICAL GROUP NPI 1245284843

NPI Information

NPI: 1245284843
Provider Name: PACIFIC COAST CARDIOLOGY MEDICAL GROUP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3300 W COAST HWY
SUITE A
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 642-5513
Get Directions

PACIFIC COAST CARDIOLOGY MEDICAL GROUP is a cardiovascular disease internal medicine in Newport Beach, 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. PACIFIC COAST CARDIOLOGY MEDICAL GROUP NPI is 1245284843. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 W COAST HWY
SUITE A
NEWPORT BEACH, CA
ZIP 92663-007
Phone: (949) 642-5513
Fax: (949) 646-8223

The provider's authorized official is Emanuel Shaoulian .
The authorized official title is Partner and has the following contact phone number (949) 642-5513.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/15/2011.

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	207U00000X	Nuclear Medicine				No
2	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	CI1510	OTHER		RAILROAD MEDICARE
2	GR0083980	MEDICAID	CALIFORNIA
3	W14360	MEDICARE PIN	CALIFORNIA
4	ZZZ56952Z	OTHER		BLUE SHIELD OF CA
5	ZZZ02968Z	OTHER		BLUE SHIELD OF CA
6	GR0083981	MEDICAID	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

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