EAST LOS ANGELES CARDIOLOGY MEDICAL GROUP INC. NPI 1790864213

NPI Information

EAST LOS ANGELES CARDIOLOGY MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Los Angeles, 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. EAST LOS ANGELES CARDIOLOGY MEDICAL GROUP, INC. NPI is 1790864213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 E CESAR E CHAVEZ AVE
SUITE 125
LOS ANGELES, CA
ZIP 90033-464
Phone: (323) 441-1122
Fax: (323) 441-1172

The provider's authorized official is Rainier A Manzanilla .
The authorized official title is Owner/president and has the following contact phone number (323) 441-1122.

The CLIA number assigned to this NPI record is 05D1025391 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 3/1/2013.

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:

Other Identifiers

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