Organization · Type 2 NPI
Fountain Valley Cardiology Medical Clinic Inc.
Cardiovascular Disease Physician · Fountain Valley, CA
NPI number
1912029901
Active
Practice location
11100 Warner Avenue, Suite # 268
Fountain Valley, CA 92708-7512
Fax (714) 549-9720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | A25451 (CA) |
| Cardiovascular Disease Physician | 207RC0000X | A31505 (CA) |
| Gastroenterology Physician | 207RG0100X | A25691 (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.
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About NPI 1912029901
Fountain Valley Cardiology Medical Clinic Inc.'s National Provider Identifier is 1912029901, issued on Apr 3, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 16, 2012.