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Organization
CALIFORNIA HEART AND VASCULAR CLINIC LLC
Active
Organization
CALIFORNIA HEART AND VASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHAR MASOOD ANSARI MD (OWNER/AUTHORIZED OFFICIAL)
(760) 353-3222
Entity
Organization
Contact information
Practice address
15525 POMERADO RD STE E1&E2, POWAY, CA 92064-2435
(858) 524-6177
(858) 524-6195
Mailing address
PO BOX 2575, ALPINE, CA 91903-2575
(760) 353-3222
(760) 353-3311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/03/2024
Last updated
10/10/2024
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