INTEGRATIVE CARDIOVASCULAR CENTER OF LA JOLLA NPI 1336531516

NPI Information

INTEGRATIVE CARDIOVASCULAR CENTER OF LA JOLLA is a cardiovascular disease internal medicine in La Jolla, 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. INTEGRATIVE CARDIOVASCULAR CENTER OF LA JOLLA NPI is 1336531516. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9834 GENESEE AVE
STE 101
LA JOLLA, CA
ZIP 92037-223
Phone: (858) 430-8455
Fax: (619) 934-3268

The provider's authorized official is Vitali Aizin .
The authorized official title is Md and has the following contact phone number (858) 430-8455.

The CLIA number assigned to this NPI record is 05D2080604 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 3/17/2015.

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:

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