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CARDIOVASCULAR CARE INC NPI 1295877546


NPI Information

NPI: 1295877546
Provider Name: CARDIOVASCULAR CARE INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D0870350

Address:
3801 KATELLA AVENUE
SUITE 401
LOS ALAMITOS, CA
ZIP 90720
Phone: (562) 598-3200
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CARDIOVASCULAR CARE INC is a cardiovascular disease internal medicine in Los Alamitos, 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. CARDIOVASCULAR CARE INC NPI is 1295877546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 KATELLA AVENUE
SUITE 401
LOS ALAMITOS, CA
ZIP 90720-375
Phone: (562) 598-3200
Fax: (562) 598-1945

The provider's authorized official is James R Licht .
The authorized official title is President and has the following contact phone number (562) 598-3200.

The CLIA number assigned to this NPI record is 05D0870350 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease43242CALIFORNIAYes

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
1GR0066010MEDICAIDCALIFORNIA
2W13581MEDICARE 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.