# CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1992104095
- **Authorized official:** KRIS JONES (BILLING ADMINISTRATOR)
- **Authorized official phone:** (707) 255-8825

## Contact information

- **Practice address:** 3434 VILLA LN, SUITE 380, NAPA, CA 94558-6405
- **Practice address phone:** (707) 254-9693
- **Mailing address:** 3010 BEARD RD, NAPA, CA 94558-3442
- **Mailing address phone:** (707) 255-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G73011 | CA | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 10/26/2015