Stanislaus Cardiology Group

LBN: Stanislaus Cardiology Group
Stanislaus Cardiology Group is an health care organization with primary practice located at 3621 Forest Glenn Dr , Modesto CA 95355-1339. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Stanislaus Cardiology Group can be contacted via phone (209) 521-9661, or through Wong, Kent Hon-Wah via phone (209) 521-9661.

Contact Information

Primary practice address
3621 Forest Glenn Dr Modesto CA 95355-1339
Phone: (209) 521-9661
Fax: (209) 521-9307
Website:
Map and Directions
Authorized official contact:
Name: Wong, Kent Hon-Wah Doctor of Medicine (MD)
Phone: (209) 521-9661

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X FNP 30072 California

Profile Details

NPI number 1902828841
LBN Legal business name Stanislaus Cardiology Group
DBA Doing business as
Authorized official Wong, Kent Hon-Wah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Apr 20th, 2016 - about 8 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 1902828841 NPPES
California MEDICAID 1902828841

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