Organization
CARDIOLOGY ASSOCIATES MEDICAL GROUP OF EAST SAN DIEGO INC
Active
Organization
CARDIOLOGY ASSOCIATES MEDICAL GROUP OF EAST SAN DIEGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN EVANS (SECRETARY & TREASURER)
(619) 582-2780
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DRIVE, SUITE 209, SAN DIEGO, CA 92120
(619) 582-2404
(619) 582-2915
Mailing address
5555 RESERVOIR DRIVE, SUITE 209, SAN DIEGO, CA 92120
(619) 582-2404
(619) 582-2915
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74366
—
CA
Enumeration date
02/01/2008
Last updated
03/06/2008
Update your record
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