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CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY INC NPI 1649207994


NPI Information

NPI: 1649207994
Provider Name: CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 05D2217387

Address:
11625 MONTANA AVE APT 214
LOS ANGELES, CA
ZIP 90049
Phone: (310) 866-6579
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CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC is a pediatric cardiology pediatrics in Los Angeles, CA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC NPI is 1649207994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11625 MONTANA AVE APT 214
LOS ANGELES, CA
ZIP 90049-683
Phone: (310) 866-6579
Fax: (310) 440-8020

The provider's authorized official is Mahnaz Tabibian .
The authorized official title is Owner and has the following contact phone number (310) 866-6579.

The CLIA number assigned to this NPI record is 05D2217387 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/21/2022.


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
12080P0202XPediatricsPediatric CardiologyYes

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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