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
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