Organization · Type 2 NPI
Big Bear Lake Medical Group Inc
Cardiovascular Disease Physician · Big Bear Lake, CA
NPI number
1174783989
Active
Practice location
41930 Garstin Dr
Big Bear Lake, CA 92315
Fax (909) 866-7030
Mailing address
41930 Garstin Dr PO Box 2915
Big Bear Lake, CA 92315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 20A6319 (CA) |
Cardiovascular Disease Physician: 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.
Another provider at this address
About NPI 1174783989
Big Bear Lake Medical Group Inc's National Provider Identifier is 1174783989, issued on Jun 16, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Big Bear Lake, CA. The record was last updated on Sep 9, 2008.