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PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA NPI 1386665511


NPI Information

NPI: 1386665511
Provider Name: PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5400 BALBOA BLVD STE 202
ENCINO, CA
ZIP 91316
Phone: (818) 784-6269
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PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA is a specialist in Encino, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA NPI is 1386665511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5400 BALBOA BLVD STE 202
ENCINO, CA
ZIP 91316-529
Phone: (818) 784-6269
Fax: (818) 784-1531

The provider's authorized official is Cristina M. Mercado .
The authorized official title is Office Manager and has the following contact phone number (818) 784-6269.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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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