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Organization

CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION

Active
Other names
Central Coast Cardiology
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY S. ALBERT MD (PRESIDENT)
(831) 758-2100
Entity
Organization

Contact information

Practice address
230 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 758-2100
(831) 758-1565
Mailing address
230 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 758-2100
(831) 758-1565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
Primary
207UN0901X
Nuclear Cardiology Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0059320
CA
01
ZZZ39580Z
BLUE SHIELD FOR SALINAS CD
CA
01
ZZZ53511Y
BLUE SHIELD FOR MONTEREY IM
CA
01
ZZZ55762Z
BLUE SHIELD FOR MONTEREY CD
CA
01
ZZZ56339Z
BLUE SHIELD FOR SALINAS IM
CA
Enumeration date
07/09/2005
Last updated
01/03/2014
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