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CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP NPI 1396858122


NPI Information

NPI: 1396858122
Provider Name: CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3630 E IMPERIAL HWY
SUITE 2101
LYNWOOD, CA
ZIP 90262
Phone: (310) 826-2073
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CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP is a thoracic surgery cardiothoracic vascular surgery in Lynwood, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP NPI is 1396858122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3630 E IMPERIAL HWY
SUITE 2101
LYNWOOD, CA
ZIP 90262-636
Phone: (310) 826-2073
Fax: (310) 826-9353

The provider's authorized official is Anthony Wong Lee .
The authorized official title is General Partner and has the following contact phone number (310) 603-6562.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/13/2009.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)CALIFORNIAYes

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
1W14030MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0078730MEDICAIDCALIFORNIA

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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