MR. EDWARD D KLINICKE (NPI# 1891964987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891964987 |
Entity Type | Individual |
Full Name | MR. EDWARD D KLINICKE |
Practice Address |
27622 Lodestone Trail Dr Laguna Niguel CA 92677-4043 |
Practice Telephone | 9494251401 |
Practice Fax Number | 9494251401 |
Mailing Telephone | 9494251401 |
Mailing Fax Number | 9494251401 |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-02-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers |
Street Address |
27622 LODESTONE TRAIL DR |
City | LAGUNA NIGUEL |
State | CA |
Zip Code | 92677-4043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497924583 | Cardiac Imaging Inc | Technician, Cardiology | 27622 Lodestone Trail Dr, Laguna Niguel, CA 92677-4043 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
Find all providers in zip 92677 |
Taxonomy Code | 246W00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Cardiology |
An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497924583 | Cardiac Imaging Inc | Technician, Cardiology | 27622 Lodestone Trail Dr, Laguna Niguel, CA 92677-4043 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
1386267458 | Bernadette Steverson | Technician, Cardiology | 1042 N Mountain Ave # B394, Upland, CA 91786-3695 | 2020-05-24 |
1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
1326421181 | Brian Yandolino | Technician, Cardiology | 351 N Kilkea Dr, Los Angeles, CA 90048-2226 | 2015-06-29 |
1245630243 | Heartwatch Solutions, Inc. | Technician, Cardiology | 9400 Empire State Dr, Bakersfield, CA 93311-9009 | 2014-08-27 |
1184970790 | Tameece C Incle Paisley | Technician, Cardiology | 4850 Dockweiler St, Los Angeles, CA 90019-1730 | 2012-08-01 |
1568751980 | Cardiac Health Solutions, LLC | Technician, Cardiology | 26800 Aliso Viejo Pkwy, Suite 125, Aliso Viejo, CA 92656-2625 | 2011-04-06 |
1386856292 | Ambulatory Pacemaker Clinic Inc | Technician, Cardiology | 7678 Zircon Ave, Rancho Cucamonga, CA 91730 | 2007-05-04 |
1902935935 | National Cardio Labs | Technician, Cardiology | 17752 Sky Park Cir, Suite 270, Irvine, CA 92614-6419 | 2007-03-05 |
1184789950 | Vascular Specialties Inc | Technician, Cardiology | 6907 Hayvenhurst Avenue, Van Nuys, CA 91406-4632 | 2006-12-22 |
Find all providers with the same taxonomy |
City | LAGUNA NIGUEL |
Zip Code | 92677 |
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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.