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HEART AND WELLNESS CENTER A MEDICAL CORPORATION NPI 1386180222


NPI Information

NPI: 1386180222
Provider Name: HEART AND WELLNESS CENTER A MEDICAL CORPORATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
502 EUCLID AVE
SUITE #104
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 434-4288
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HEART AND WELLNESS CENTER A MEDICAL CORPORATION is a cardiovascular disease internal medicine in National City, 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. HEART AND WELLNESS CENTER A MEDICAL CORPORATION NPI is 1386180222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

502 EUCLID AVE
SUITE #104
NATIONAL CITY, CA
ZIP 91950-931
Phone: (619) 434-4288
Fax: (888) 501-2443

The provider's authorized official is Mariusz W Wysoczanski .
The authorized official title is Ceo and has the following contact phone number (619) 434-4288.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 1/17/2017.


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 DiseaseC55986CALIFORNIAYes
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyA76050CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyA124001CALIFORNIANo

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
1C55986MEDICARE 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

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