Organization
SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MONTANEZ M.D. (MEDICAL DIRECTOR)
(714) 353-3250
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 408, ANAHEIM, CA 92801-2806
(714) 353-3250
(714) 386-5350
Mailing address
4790 IRVINE BLVD, SUITE 105-177, IRVINE, CA 92620-1973
(714) 353-3250
(714) 386-5350
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A97240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97240
LIC. NUMBER
CA
Enumeration date
06/22/2010
Last updated
08/18/2010
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