Childrens Cardiac Medical Clinic
Pediatric Cardiology
Childrens Cardiac Medical Clinic is a Arcadia, California based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
301 W Huntington Dr, #415, Arcadia, California - 91007-3462. They can be contacted on phone at
626-445-5552 and fax number 626-445-4411.
NPI number (Unique professional ID) for Childrens Cardiac Medical Clinic is
1639152820 which was assigned by NPPES on 22 Nov, 2005 and it was last updated on 23 Jul, 2007.
Childrens Cardiac Medical Clinic license number is
G12458 for Pediatrics Pediatric Cardiology (2080P0202X) in California.
Childrens Cardiac Medical Clinic provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Childrens Cardiac Medical Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Childrens Cardiac Medical Clinic |
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Business Address:
Childrens Cardiac Medical Clinic address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 W Huntington Dr, #415
Arcadia, CA, 91007-3462
United States |
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| Phone Number : | 626-445-5552 |
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| Fax Number : | 626-445-4411 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639152820 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Nov, 2005 |
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| Last Updated On : | 23 Jul, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lstephen Gordon |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 626-445-5552 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Cardiac Medical Clinic are as mentioned. Primary taxonomy code for Childrens Cardiac Medical Clinic is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | G12458 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Childrens Cardiac Medical Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G124580 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 W Huntington Dr, #415
Arcadia, CA, 91007-3462
United States |
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| Phone Number : | 626-445-5552 |
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| Fax Number : | 626-445-4411 |
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Business Location:
Patients can refer following map for directions to
Childrens Cardiac Medical Clinic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.