SOUTHERN CALIFORNIA CARDIOVASCULAR INSTITUTE APC


Address: 1100 Wilshire Blvd, Suite 101, Los Angeles, CA 90017-1916
Phone: 2139770419

SOUTHERN CALIFORNIA CARDIOVASCULAR INSTITUTE APC (NPI# 1033415385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033415385
Entity Type Organization
Organization Name SOUTHERN CALIFORNIA CARDIOVASCULAR INSTITUTE APC
Other Organization Name CALIFORNIA CARDIOVASCULAR INSTITUTE APC
Practice Address 1100 Wilshire Blvd
Suite 101
Los Angeles
CA 90017-1916
Practice Telephone 2139770419
Mailing Telephone 2132231100
Mailing Fax Number 2132231104
Enumeration Date 2011-02-03
Last Update Date 2013-03-01
Authorized Official Name GAIL L BREWER (OFFICE MANAGER)
Authorized Official Telephone 2132231100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
California CardioVascular Institute APC Doing Business As Name - Organization

Office Location

Street Address 1100 WILSHIRE BLVD
SUITE 101
City LOS ANGELES
State CA
Zip Code 90017-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770865875 Los Angeles Cardiology Associates Internal Medicine 1100 Wilshire Blvd, Suite 101, Los Angeles, CA 90017-1916 2011-09-14

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NPI Name Taxonomy Address Enumeration
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1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
Find all providers in zip 90017

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1932617800 Coordinated Health of Ca, LLC Internal Medicine 8939 S Sepulveda Blvd Ste 102c, Los Angeles, CA 90045-3605 2018-01-13
1174840102 Jonathan Stanley Gordin Internal Medicine 200 Med Plaza, #365,420,120, Los Angeles, CA 90024-0001 2010-04-30
1629244918 Edwin Aik Meng Lee Internal Medicine 1300 N Vermont Ave Ste 808, Los Angeles, CA 90027-6091 2008-05-06
1407065790 Christina Holly Economides Internal Medicine 1245 Wilshire Blvd Ste 703, Los Angeles, CA 90017-4807 2007-05-22
1245353952 Katrine A. Zhiroff Internal Medicine 12021 Wilmington Ave Ste 1000, Los Angeles, CA 90059-3019 2007-04-09
1659498004 Boyle Heights Cardiovascular Medical Group Inc Internal Medicine 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 2007-03-23
1932239837 Nicholas N Dzebolo Internal Medicine 2105 Beverly Blvd Ste 111, Los Angeles, CA 90057-2252 2007-03-07
1881742831 Thomas C. Doerner Internal Medicine 1701 E Cesar E Chavez Ave Ste 403, Los Angeles, CA 90033-2425 2007-01-08
1972588622 Evan M Zahn Internal Medicine 127 S. San Vicente Blvd, Ahsp, A3600, Los Angeles, CA 90048 2005-12-14
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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