# SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114248382
- **Authorized official:** ALICIA MONTANEZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 353-3250

## Contact information

- **Practice address:** 1211 W LA PALMA AVE STE 408, ANAHEIM, CA 92801-2806
- **Practice address phone:** (714) 353-3250
- **Practice address fax:** (714) 386-5350
- **Mailing address:** 4790 IRVINE BLVD, SUITE 105-177, IRVINE, CA 92620-1973
- **Mailing address phone:** (714) 353-3250
- **Mailing address fax:** (714) 386-5350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | A97240 | CA | Yes |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 08/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A97240 | LIC. NUMBER | CA |