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Organization
SHEARER CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization
SHEARER CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F. BORNHEIMER M.D. (PRESIDENT)
(818) 247-8331
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR STE 100, GLENDALE, CA 91206-4192
(818) 247-8331
(818) 247-3434
Mailing address
1577 E CHEVY CHASE DR STE 100, GLENDALE, CA 91206-4192
(818) 247-8331
(818) 247-3434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP17262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP5008
RR MEDICARE
—
05
—
GR0014120
—
CA
Enumeration date
09/25/2006
Last updated
05/05/2020
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