Childrens Cardiac Medical Clinic

LBN: Childrens Cardiac Medical Clinic
Childrens Cardiac Medical Clinic is an health care organization with primary practice located at 301 W Huntington Dr #415, Arcadia CA 91007-3462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Childrens Cardiac Medical Clinic can be contacted via phone (626) 445-5552, or through Gordon, L Stephen via phone (626) 445-5552.

Contact Information

Primary practice address
301 W Huntington Dr #415 Arcadia CA 91007-3462
Phone: (626) 445-5552
Fax: (626) 445-4411
Website:
Map and Directions
Authorized official contact:
Name: Gordon, L Stephen Doctor of Medicine (MD)
Phone: (626) 445-5552

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G12458 California

Profile Details

NPI number 1639152820
LBN Legal business name Childrens Cardiac Medical Clinic
DBA Doing business as
Authorized official Gordon, L Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 23rd, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639152820 NPPES
California MEDICAID 00G124580

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