Organization · Type 2 NPI

Pacific Heart and Vascular Medical Group

Cardiovascular Disease Physician · Lodi, CA

NPI number 1790712990 Active

Practice location

845 S Fairmont Ave, Suite 11
Lodi, CA 95240-5113

Fax (209) 334-5013

Mailing address

1801 E March Ln, Suite D400
Stockton, CA 95210-6629

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XFNP33233 (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.

7 other providers at this address

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About NPI 1790712990

Pacific Heart and Vascular Medical Group's National Provider Identifier is 1790712990, issued on Jun 26, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lodi, CA. The record was last updated on Mar 2, 2020.