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ANAHEIM CARDIOLOGY MEDICAL GROUP INC NPI 1093800617


NPI Information

NPI: 1093800617
Provider Name: ANAHEIM CARDIOLOGY MEDICAL GROUP, INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1735 W. ROMNEYA DR.
ANAHEIM, CA
ZIP 92801
Phone: (714) 776-5920
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ANAHEIM CARDIOLOGY MEDICAL GROUP, INC is a geriatric medicine family medicine in Anaheim, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. ANAHEIM CARDIOLOGY MEDICAL GROUP, INC NPI is 1093800617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1735 W. ROMNEYA DR.
ANAHEIM, CA
ZIP 92801
Phone: (714) 776-5920
Fax: (714) 776-3407

The provider's authorized official is Reza Talebi Dolouei .
The authorized official title is President and has the following contact phone number (714) 776-5920.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/20/2020.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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
1ZZZ49453ZMEDICAIDCALIFORNIA

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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