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PACIFIC RIM ELECTROPHYSIOLOGY MEDICAL GRP INC. NPI 1407859234


NPI Information

NPI: 1407859234
Provider Name: PACIFIC RIM ELECTROPHYSIOLOGY MEDICAL GRP, INC.
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
1700 CESAR E. CHAVEZ AVENUE
SUITE 2700
LOS ANGELES, CA
ZIP 90033
Phone: (310) 672-9999
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PACIFIC RIM ELECTROPHYSIOLOGY MEDICAL GRP, INC. is a clinical cardiac electrophysiology internal medicine in Los Angeles, CA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. PACIFIC RIM ELECTROPHYSIOLOGY MEDICAL GRP, INC. NPI is 1407859234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 CESAR E. CHAVEZ AVENUE
SUITE 2700
LOS ANGELES, CA
ZIP 90033-434
Phone: (310) 672-9999
Fax: (310) 861-0540

The provider's authorized official is Carla M Drew .
The authorized official title is Chief Financial Officer and has the following contact phone number (310) 672-9999.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 6/23/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA32891CALIFORNIANo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyA81336CALIFORNIANo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyA32891CALIFORNIAYes

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
1GR0090210MEDICAIDCALIFORNIA
2A84402MEDICARE UPINCALIFORNIA

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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