Pacific Heart And Vascular Medical Group

LBN: Pacific Heart And Vascular Medical Group
Pacific Heart And Vascular Medical Group is an health care organization with primary practice located at 55 S Highway 26 Suite 1, Valley Springs CA 95252-8422. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Pacific Heart And Vascular Medical Group can be contacted via phone (877) 835-7938, or through Powell, Michelle Anne via phone (209) 464-3615.

Contact Information

Primary practice address
55 S Highway 26 Suite 1 Valley Springs CA 95252-8422
Fax: (209) 464-1311
Website:
Authorized official contact:
Name: Powell, Michelle Anne

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X FNP33233 California

Profile Details

NPI number 1962439463
LBN Legal business name Pacific Heart And Vascular Medical Group
DBA Doing business as
Authorized official Powell, Michelle Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 23rd, 2008 - about 18 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 1962439463 NPPES
California MEDICAID GR0086060
California Other ZZZ59842Z

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