# SOUTH BAY ELECTROPHYSIOLOGY INC

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

## Provider details

- **NPI number:** 1346589900
- **Authorized official:** DUANE BRIDGES MD (PRESIDENT)
- **Authorized official phone:** (310) 973-0600

## Contact information

- **Practice address:** 11633 HAWTHORNE BLVD, SUITE 400, HAWTHORNE, CA 90250-2321
- **Practice address phone:** (310) 973-0600
- **Mailing address:** 11633 HAWTHORNE BLVD, SUITE 400, HAWTHORNE, CA 90250-2321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 04/01/2013