Providence - Cardiology
Pediatric Cardiology
Providence - Cardiology is a Orange, California based Pediatric center with medical specialization in
Pediatric Cardiology. Providence - Cardiology is also known as
Pediatric Subspecialty Faculty, Inc..
It is located at
1310 W Stewart Dr Ste 212, Orange, California - 92868-3837. They can be contacted on phone at
714-516-4295.
NPI number (Unique professional ID) for Providence - Cardiology is
1043401870 which was assigned by NPPES on 07 Aug, 2007 and it was last updated on 25 Feb, 2008.
Providence - Cardiology 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:
Providence - Cardiology basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Providence - Cardiology |
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| Other Name : | Pediatric Subspecialty Faculty, Inc. |
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Business Address:
Providence - Cardiology 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 : | 1310 W Stewart Dr Ste 212
Orange, CA, 92868-3837
United States |
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| Phone Number : | 714-516-4295 |
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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 : | 1043401870 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Aug, 2007 |
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| Last Updated On : | 25 Feb, 2008 |
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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 : | Elizabethm Farace |
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| Official Title or Position : | MANAGER |
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| Phone Number : | 714-516-4295 |
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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 Providence - Cardiology are as mentioned. Primary taxonomy code for Providence - Cardiology is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Providence - Cardiology such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR009039B | MEDICAID | CA | |
| GR009039G | MEDICAID | CA | |
| GR009039D | 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 : | 455 S Main St
Orange, CA, 92868-3835
United States |
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| Phone Number : | 714-516-4295 |
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Business Location:
Patients can refer following map for directions to
Providence - Cardiology practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.