PANACEA MEDICAL CORPORATION NPI 1871162453

NPI Information

NPI: 1871162453
Provider Name: PANACEA MEDICAL CORPORATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
840 APOLLO ST STE 100
EL SEGUNDO, CA
ZIP 90245
Phone: (615) 393-2703
Get Directions

PANACEA MEDICAL CORPORATION is a cardiovascular disease internal medicine in El Segundo, 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. PANACEA MEDICAL CORPORATION NPI is 1871162453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

840 APOLLO ST STE 100
EL SEGUNDO, CA
ZIP 90245-641
Phone: (615) 393-2703

The provider's authorized official is Laura Purdy .
The authorized official title is President and has the following contact phone number (615) 393-2703.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 6/18/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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: 5/5/2024

NPI Synchronization or Removal

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