Cardiology Practice Medical Group
LBN: Cardiology Practice Medical Group
Cardiology Practice Medical Group is an health care organization with primary practice located at 17075 Devonshire St Ste 201 , Northridge CA 91325-5407. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Cardiology Practice Medical Group can be contacted via phone (818) 365-9595, or through Pego, Richard Fernando via phone (818) 365-9595.
Contact Information
Primary practice address
17075 Devonshire St Ste 201
Northridge CA 91325-5407
Phone: (818) 365-9595
Fax: (818) 365-8955
Website:
Authorized official contact:
Name: Pego, Richard Fernando Doctor of Medicine (MD)
Phone: (818) 365-9595
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A33230 | California |
Profile Details
| NPI number | 1629132535 |
|---|---|
| LBN Legal business name | Cardiology Practice Medical Group |
| DBA Doing business as | |
| Authorized official | Pego, Richard Fernando Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jun 15th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629132535 | NPPES |
| California | Other | 222031992 | BLUE SHIELD |
| California | Other | 060067979 | BLUE SHIELD |
| California | MEDICAID | GR0091580 | BLUE SHIELD |
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