CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY A MEDICAL GROUP NPI 1588872907

NPI Information

CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP is a vascular surgery surgery in Encino, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP NPI is 1588872907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16255 VENTURA BLVD
SUITE 910
ENCINO, CA
ZIP 91436-302
Phone: (818) 990-4600
Fax: (818) 990-7841

The provider's authorized official is Gholam R Mohammadzadeh .
The authorized official title is Partner Physician and has the following contact phone number (805) 379-9456.

The CLIA number assigned to this NPI record is 05D1069516 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 6/30/2008.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.