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PACIFIC HEART INSTITUTE NPI 1639139827


NPI Information

NPI: 1639139827
Provider Name: PACIFIC HEART INSTITUTE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2001 SANTA MONICA BLVD
280W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-7678
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PACIFIC HEART INSTITUTE is a cardiovascular disease internal medicine in Santa Monica, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PACIFIC HEART INSTITUTE NPI is 1639139827. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2001 SANTA MONICA BLVD
280W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 829-7678
Fax: (310) 449-6958

The provider's authorized official is Loralee Haycock .
The authorized official title is Business Office Manager and has the following contact phone number (424) 238-1792.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 2/4/2014.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1W3968MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
210022550OTHERCALIFORNIALABORATORY ECHOCARDIOGRAPHY
3B1393570420OTHERCALIFORNIALABORATORY NUCLEAR
4GR0050330MEDICAIDCALIFORNIA

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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