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SOUTHERN HEART CLINIC INC. NPI 1760594451


NPI Information

NPI: 1760594451
Provider Name: SOUTHERN HEART CLINIC, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11100 WARNER AVE STE 152
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 432-1212
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SOUTHERN HEART CLINIC, INC. is a cardiovascular disease internal medicine in Fountain Valley, 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. SOUTHERN HEART CLINIC, INC. NPI is 1760594451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11100 WARNER AVE STE 152
FOUNTAIN VALLEY, CA
ZIP 92708-510
Phone: (714) 432-1212
Fax: (714) 432-1213

The provider's authorized official is Paul Tien Truong .
The authorized official title is President/physician and has the following contact phone number (714) 432-1212.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseA053527CALIFORNIAYes

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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