Pacific Pediatric Cardiology Med Grp Inc
Pediatric Cardiology
Pacific Pediatric Cardiology Med Grp Inc is a Pasadena, California based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
50 W Bellefontaine St, Suite 405, Pasadena, California - 91105-3132. They can be contacted on phone at
626-796-9259 and fax number 626-449-8560.
NPI number (Unique professional ID) for Pacific Pediatric Cardiology Med Grp Inc is
1396720371 which was assigned by NPPES on 13 Dec, 2005 and it was last updated on 24 Jul, 2007.
Pacific Pediatric Cardiology Med Grp Inc 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:
Pacific Pediatric Cardiology Med Grp Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Pacific Pediatric Cardiology Med Grp Inc |
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Business Address:
Pacific Pediatric Cardiology Med Grp Inc 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 : | 50 W Bellefontaine St, Suite 405
Pasadena, CA, 91105-3132
United States |
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| Phone Number : | 626-796-9259 |
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| Fax Number : | 626-449-8560 |
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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 : | 1396720371 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Dec, 2005 |
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| Last Updated On : | 24 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 : | Williamr Vincent |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 626-796-9259 |
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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 Pacific Pediatric Cardiology Med Grp Inc are as mentioned. Primary taxonomy code for Pacific Pediatric Cardiology Med Grp Inc is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pacific Pediatric Cardiology Med Grp Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ609882 | Other | CA | BCBS |
| GR0086740 | 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 : | 50 W Bellefontaine St, Suite 405
Pasadena, CA, 91105-3132
United States |
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| Phone Number : | 626-796-9259 |
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| Fax Number : | 626-449-8560 |
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Business Location:
Patients can refer following map for directions to
Pacific Pediatric Cardiology Med Grp Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.