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Organization
SHIVA HEART CENTER MEDICAL GROUP, INC.
Active
Organization
SHIVA HEART CENTER MEDICAL GROUP, INC.
Active
Parent organization
JATIN N. AMIN MD INC
Other names
Shiva Heart Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JATIN N. AMIN MD INC
Authorized official
JATIN N. AMIN (PRESIDENT)
(951) 894-7124
Entity
Organization
Contact information
Practice address
36320 INLAND VALLEY DR, #301, WILDOMAR, CA 92595-7512
(951) 894-7124
(951) 894-7125
Mailing address
36320 INLAND VALLEY DR, #301, WILDOMAR, CA 92595-7512
(951) 894-7124
(951) 894-7125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G82118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G821180
—
CA
Enumeration date
07/23/2006
Last updated
10/19/2009
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