Pacific Pediatric Cardiology Med Grp Inc
LBN: Pacific Pediatric Cardiology Med Grp Inc
Pacific Pediatric Cardiology Med Grp Inc is an health care organization with primary practice located at 50 W Bellefontaine St Suite 405, Pasadena CA 91105-3132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty.
Pacific Pediatric Cardiology Med Grp Inc can be contacted via phone (626) 796-9259, or through Vincent, William R via phone (626) 796-9259.
Contact Information
Primary practice address
50 W Bellefontaine St Suite 405
Pasadena CA 91105-3132
Phone: (626) 796-9259
Fax: (626) 449-8560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X |
Profile Details
| NPI number | 1396720371 |
|---|---|
| LBN Legal business name | Pacific Pediatric Cardiology Med Grp Inc |
| DBA Doing business as | |
| Authorized official | Vincent, William R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jul 24th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396720371 | NPPES |
| California | MEDICAID | GR0086740 | |
| California | Other | ZZZ609882 |
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