FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC. NPI 1912029901

NPI Information

FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC. is a cardiovascular disease internal medicine in Fountain Valley, 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. FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC. NPI is 1912029901. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11100 WARNER AVENUE
SUITE # 268
FOUNTAIN VALLEY, CA
ZIP 92708-512
Phone: (714) 540-9911
Fax: (714) 549-9720

The provider's authorized official is Shankarlingam Sainath .
The authorized official title is President and has the following contact phone number (714) 540-9911.

The CLIA number assigned to this NPI record is 05D0581639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 3/16/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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