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PROVIDENCE - CARDIOLOGY NPI 1043401870


NPI Information

NPI: 1043401870
Provider Name: PROVIDENCE - CARDIOLOGY

Other Name: PEDIATRIC SUBSPECIALTY FACULTY, INC.

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
1310 W STEWART DR STE 212
ORANGE, CA
ZIP 92868
Phone: (714) 516-4295
Get Directions

PROVIDENCE - CARDIOLOGY is a pediatric cardiology pediatrics in Orange, 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. PROVIDENCE - CARDIOLOGY NPI is 1043401870. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pediatric Subspecialty Faculty, Inc..

The provider's business location address is:

1310 W STEWART DR STE 212
ORANGE, CA
ZIP 92868-837
Phone: (714) 516-4295

The provider's authorized official is Elizabeth M Farace .
The authorized official title is Manager and has the following contact phone number (714) 516-4295.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 2/25/2008.


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 CardiologyCALIFORNIAYes

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
1GR009039BMEDICAIDCALIFORNIA
2GR009039DMEDICAIDCALIFORNIA
3GR009039GMEDICAIDCALIFORNIA

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: 11/14/2023

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