MIRKO A GIACONI MD INC NPI 1750398491

NPI Information

NPI: 1750398491
Provider Name: MIRKO A GIACONI MD INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1360 WEST 6TH ST
STE 205
SAN PEDRO, CA
ZIP 90732
Phone: (310) 832-7541
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MIRKO A GIACONI MD INC is a cardiovascular disease internal medicine in San Pedro, 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. MIRKO A GIACONI MD INC NPI is 1750398491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1360 WEST 6TH ST
STE 205
SAN PEDRO, CA
ZIP 90732
Phone: (310) 832-7541
Fax: (310) 832-3585

The provider's authorized official is Mirko Andrew Giaconi .
The authorized official title is President and has the following contact phone number (310) 832-7541.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/28/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	A25678	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	W5784	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00A25678	MEDICAID	CALIFORNIA
3	A24533	MEDICARE UPIN

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

NPI Synchronization or Removal

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