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CEDARS HEART CLINIC LLC NPI 1689878241


NPI Information

NPI: 1689878241
Provider Name: CEDARS HEART CLINIC, LLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 03D1069287

Address:
1968 N PEART RD
BUILDING B, SUITE 4
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-6661
Get Directions

CEDARS HEART CLINIC, LLC is an interventional cardiology internal medicine in Casa Grande, AZ. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. CEDARS HEART CLINIC, LLC NPI is 1689878241. The provider is registered as an organization entity type.

The provider's business location address is:

1968 N PEART RD
BUILDING B, SUITE 4
CASA GRANDE, AZ
ZIP 85122-495
Phone: (520) 836-6661
Fax: (520) 836-6663

The provider's authorized official is Ziad Elghoul .
The authorized official title is Ceo and has the following contact phone number (480) 917-5900.

The CLIA number assigned to this NPI record is 03D1069287 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 3/12/2015.


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
1261QM2500XClinic/CenterMedical SpecialtyNo
2207RI0011XInternal MedicineInterventional Cardiology29317ARIZONAYes

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
1569048MEDICAIDARIZONA
211056MEDICARE PINARIZONA

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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