Southland Cardiology Medical Group
LBN: Southland Cardiology Medical Group
Southland Cardiology Medical Group is an health care organization with primary practice located at 399 E Highland Ave Suite 307, San Bernardino CA 92404-3808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as the primary health care specialty.
Southland Cardiology Medical Group can be contacted via phone (909) 881-7400, or through Nazzal, Sami Barham via phone (909) 881-7400.
Contact Information
Primary practice address
399 E Highland Ave Suite 307
San Bernardino CA 92404-3808
Phone: (909) 881-7400
Fax: (909) 881-7404
Website:
Authorized official contact:
Name: Nazzal, Sami Barham Doctor of Medicine (MD)
Phone: (909) 881-7400
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A30933 | California |
Profile Details
NPI number | 1063624534 |
---|---|
LBN Legal business name | Southland Cardiology Medical Group |
DBA Doing business as | |
Authorized official | Nazzal, Sami Barham Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Jun 23rd, 2014 - about 10 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 | 1063624534 | NPPES |
California | MEDICAID | GR0079880 |
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