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CARDIOVASCULAR CONSULTANTS MEDICAL GROUP NPI 1427035617


NPI Information

NPI: 1427035617
Provider Name: CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
16542 VENTURA BLVD STE 402
ENCINO, CA
ZIP 91436
Phone: (818) 782-5041
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CARDIOVASCULAR CONSULTANTS MEDICAL GROUP 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. CARDIOVASCULAR CONSULTANTS MEDICAL GROUP NPI is 1427035617. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16542 VENTURA BLVD STE 402
ENCINO, CA
ZIP 91436-562
Phone: (818) 782-5041
Fax: (818) 205-9091

The provider's authorized official is Kimberley A Litke .
The authorized official title is Asst Administrator and has the following contact phone number (818) 782-5041.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 8/23/2022.


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 DiseaseCALIFORNIANo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyCALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyCALIFORNIANo
4207UN0901XNuclear MedicineNuclear CardiologyCALIFORNIANo
5174400000XSpecialistFNP7299CALIFORNIAYes

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
1GR0026711MEDICAIDCALIFORNIA
2GR0026710MEDICAIDCALIFORNIA
3GR0026712MEDICAIDCALIFORNIA

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.