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Organization
SOUTHERN CALIFORNIA HEART SPECIALISTS
Active
Organization
SOUTHERN CALIFORNIA HEART SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY D BIGGLES (BUSINESS OFFICE MAMAGER)
(626) 793-1227
Entity
Organization
Contact information
Practice address
301 W HUNTINGTON DR, SUITE 500, ARCADIA, CA 91007-3462
(626) 294-4888
Mailing address
55 E CALIFORNIA BLVD, THIRD FLOOR, PASADENA, CA 91105-3954
(626) 793-1227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
FPN23413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2366
RAIL ROAD MEDICARE
CA
01
—
CI6769
RAIL ROAD MEDICARE
CA
05
—
GR0069260
—
CA
05
—
GR0069261
—
CA
01
—
ZZZ51242Z
BLUE SHIELD
CA
Enumeration date
03/06/2008
Last updated
06/17/2008
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