Individual
CARLOS MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL PLAZA SUITE 660, UCLA CARDIAC ARRHYTHMIA CENTER, LOS ANGELES, CA 90092-7392
(310) 206-6433
Mailing address
1041 18TH ST, 4, SANTA MONICA, CA 90403-4421
(424) 364-5630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-0248
NM
207R00000X
Internal Medicine Physician
A119680
CA
207R00000X
Internal Medicine Physician
HM274Z
CA
207RC0000X
Cardiovascular Disease Physician
A119680
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A119680
CA
Other
Enumeration date
02/06/2007
Last updated
05/02/2017
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