# CALIFORNIA CARDIOLOGY CLINIC

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

## Provider details

- **NPI number:** 1609283241
- **Authorized official:** WASEEMUDDIN KAZI MD (OWNER)
- **Authorized official phone:** (951) 302-0888

## Contact information

- **Practice address:** 31537 RANCHO PUEBLO RD, SUITE 204, TEMECULA, CA 92592-4857
- **Practice address phone:** (951) 302-0888
- **Practice address fax:** (951) 303-3666
- **Mailing address:** 31537 RANCHO PUEBLO RD, SUITE 204, TEMECULA, CA 92592-4857
- **Mailing address phone:** (951) 302-0888
- **Mailing address fax:** (951) 303-3666

## 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:** 07/15/2014
- **Last updated:** 05/22/2016