# CALIFORNIA HEART AND VASCULAR CLINIC LLC

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

## Provider details

- **NPI number:** 1144049560
- **Authorized official:** DR. ATHAR MASOOD ANSARI MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (760) 353-3222

## Contact information

- **Practice address:** 15525 POMERADO RD STE E1&E2, POWAY, CA 92064-2435
- **Practice address phone:** (858) 524-6177
- **Practice address fax:** (858) 524-6195
- **Mailing address:** PO BOX 2575, ALPINE, CA 91903-2575
- **Mailing address phone:** (760) 353-3222
- **Mailing address fax:** (760) 353-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 10/10/2024