Organization · Type 2 NPI

Northern California Medical Assoc Inc

Cardiovascular Disease Physician · Lakeport, CA

NPI number 1235138926 Active

Practice location

5196 Hill Rd E, Ste 202
Lakeport, CA 95453-6362

Fax (707) 263-8137

Mailing address

3536 Mendocino Ave, Ste 200
Santa Rosa, CA 95403-3634

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Nuclear Cardiology Physician 207UN0901XNone listed

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.

5 other providers at this address

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About NPI 1235138926

Northern California Medical Assoc Inc's National Provider Identifier is 1235138926, issued on Jul 15, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lakeport, CA. The record was last updated on Feb 9, 2012.