ICARDIO CORPORATION A MEDICAL CORPORATION NPI 1386753515

NPI Information

ICARDIO CORPORATION A MEDICAL CORPORATION is a sonography specialist technologist cardiovascular in Los Angeles, CA. ICARDIO CORPORATION A MEDICAL CORPORATION NPI is 1386753515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1531 GLENVILLE DRIVE
LOS ANGELES, CA
ZIP 90035
Phone: (310) 551-2750
Fax: (310) 861-5620

The provider's authorized official is Joshua Penn .
The authorized official title is President and has the following contact phone number (310) 551-2750.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/29/2009.

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

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