Cardiology Practice Medical Group in Northridge - Specialist
Cardiology Practice Medical Group - NPI 1629132535
Cardiology Practice Medical Group is a Specialist in Northridge, California. Cardiology Practice Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Cardiology Practice Medical Group is 1629132535. The last update date is 2010-06-15.
Cardiology Practice Medical Group's current location address is 17075 Devonshire St Ste 201, Northridge, California. You can contact this provider via phone number 8183659595 and fax number 8183658955. The mailing address for Cardiology Practice Medical Group is 17075 Devonshire St Ste 201, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cardiology Practice Medical Group |
|---|---|
| Address | 17075 Devonshire St Ste 201, Northridge, California |
| Phone Number | 8183659595 |
| Fax Number | 8183658955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pego Fernando Richard |
| Credentials | M.D. |
| Telephone Number | 8183659595 |
NPI Number Detail
| NPI Number | 1629132535 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | 17075 Devonshire St Ste 201 |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913255407 |
| Phone Number | 8183659595 |
| Fax Number | 8183658955 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A33230 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222031992 | CA | BLUE SHIELD | |
| 60067979 | CA | MEDICARE RAILROAD | |
| GR0091580 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cardiology Practice Medical Group by the Centers for Medicare & Medicaid Services?
The Cardiology Practice Medical Group has been assigned the NPI (National Provider Identifier) 1629132535 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Cardiology Practice Medical Group?
The Cardiology Practice Medical Group is situated at 17075 Devonshire St Ste 201, in the city of Northridge, state of CA, with the zip code 913255407.
What is the Cardiology Practice Medical Group's area of specialization and corresponding taxonomy classification?
The Cardiology Practice Medical Group's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1629132535 to Cardiology Practice Medical Group?
The Cardiology Practice Medical Group received its 1629132535 assignment from the Centers for Medicare & Medicaid Services on 2006-12-22.
When was the Cardiology Practice Medical Group's information last updated?
The Cardiology Practice Medical Group's information was last updated on 2010-06-15.