Organization
SOUTHLAND CARDIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMI BARHAM NAZZAL M.D. (PARTNER)
(909) 881-7400
Entity
Organization
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-7404
Mailing address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-7404
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A30933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079880
—
CA
Enumeration date
05/04/2007
Last updated
06/23/2014
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