Fountain Valley Cardiology Medical Clinic Inc.
LBN: Fountain Valley Cardiology Medical Clinic Inc.
Fountain Valley Cardiology Medical Clinic Inc. is an health care organization with primary practice located at 11100 Warner Avenue Suite # 268, Fountain Valley CA 92708-7512. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Fountain Valley Cardiology Medical Clinic Inc. can be contacted via phone (714) 540-9911, or through Sainath, Shankarlingam via phone (714) 540-9911.
Contact Information
Primary practice address
11100 Warner Avenue Suite # 268
Fountain Valley CA 92708-7512
Phone: (714) 540-9911
Fax: (714) 549-9720
Website:
Authorized official contact:
Name: Sainath, Shankarlingam Doctor of Medicine (MD)
Phone: (714) 540-9911
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A25451 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A31505 | California |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A25691 | California |
Profile Details
| NPI number | 1912029901 |
|---|---|
| LBN Legal business name | Fountain Valley Cardiology Medical Clinic Inc. |
| DBA Doing business as | |
| Authorized official | Sainath, Shankarlingam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Mar 16th, 2012 - about 12 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 | 1912029901 | NPPES |
| California | MEDICAID | ZZZ71176Z | |
| California | Other | A25691 | |
| California | Other | A31505 | |
| California | Other | 1366500514 | |
| California | Other | 1811050081 | |
| California | Other | A25451 | |
| California | Other | WA25691E | |
| California | Other | WA31505B | |
| California | Other | 1114085362 | |
| California | Other | WA25451C |
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