Icardio Corporation A Medical Corporation in Los Angeles - Sonography
Icardio Corporation A Medical Corporation - NPI 1386753515
Icardio Corporation A Medical Corporation is a Sonography in Los Angeles, California. Icardio Corporation A Medical Corporation practices all healthcare services and medical treatments related to Sonography. The NPI Number for Icardio Corporation A Medical Corporation is 1386753515. The last update date is 2009-07-29.
Icardio Corporation A Medical Corporation's current location address is 1531 Glenville Drive, Los Angeles, California. You can contact this provider via phone number 3105512750 and fax number 3108615620. The mailing address for Icardio Corporation A Medical Corporation is 1531 Glenville Drive, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icardio Corporation A Medical Corporation |
|---|---|
| Address | 1531 Glenville Drive, Los Angeles, California |
| Phone Number | 3105512750 |
| Fax Number | 3108615620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Penn Joshua |
| Credentials | MD |
| Telephone Number | 3105512750 |
NPI Number Detail
| NPI Number | 1386753515 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-07-29 |
Provider Mailing Address Detail
| Address | 1531 Glenville Drive |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90035 |
| Phone Number | 3105512750 |
| Fax Number | 3108615620 |
Provider's Primary Taxonomy Detail
| Speciality | Sonography |
|---|---|
| Taxonomy | 246Xs1301X |
| Licence No | G76919 |
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Definition: Performs diagnostic ultrasound imaging examinations using high-frequency sound waves to visualize soft tissues and body structures. |
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What is the unique 10-digit identification code issued to Icardio Corporation A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Icardio Corporation A Medical Corporation has been assigned the NPI (National Provider Identifier) 1386753515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Icardio Corporation A Medical Corporation's facilities are situated?
The facilities of Icardio Corporation A Medical Corporation are physically located at the following address: 1531 Glenville Drive, Los Angeles, CA, 90035.
What is Icardio Corporation A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Icardio Corporation A Medical Corporation is Sonography, and the taxonomy classification code that categorizes this area of expertise is 246Xs1301X.
When did the Icardio Corporation A Medical Corporation receive its 1386753515?
The Icardio Corporation A Medical Corporation was issued its 1386753515 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Icardio Corporation A Medical Corporation's details last updated?
The information pertaining to the Icardio Corporation A Medical Corporation, including its address, specialty, and other details, was most recently updated on 2009-07-29.