Jack S Vangrow in Orange - Cardiovascular Disease
Jack S Vangrow - NPI 1467482174
Jack S Vangrow is a Cardiovascular Disease in Orange, California. Jack S Vangrow practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jack S Vangrow is 1467482174. The last update date is 2023-03-07.
Jack S Vangrow's current location address is 1140 W. La Veta Ave, Orange, California. You can contact this provider via phone number 7145643300 and fax number 7145643318. The mailing address for Jack S Vangrow is 1140 W. La Veta Ave, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack S Vangrow |
|---|---|
| Address | 1140 W. La Veta Ave, Orange, California |
| Phone Number | 7145643300 |
| Fax Number | 7145643318 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467482174 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1140 W. La Veta Ave |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928684228 |
| Phone Number | 7145643300 |
| Fax Number | 7145643318 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | C29135 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0064090 | CA | -- | |
| C29135 | CA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jack S Vangrow by the Centers for Medicare & Medicaid Services?
The Jack S Vangrow has been issued the NPI (National Provider Identifier) 1467482174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack S Vangrow is located?
The Jack S Vangrow is situated at the following address: 1140 W. La Veta Ave, Orange, CA, 928684228.
What is Jack S Vangrow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack S Vangrow's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
When did Jack S Vangrow receive its 1467482174 assignment?
The Jack S Vangrow was assigned its 1467482174 on 2006-07-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jack S Vangrow most recently updated?
The details pertaining to the Jack S Vangrow, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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