Organization
CALIFORNIA HEART AND VASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHAR MASOOD ANSARI MD (OWNER/AUTHORIZED OFFICIAL)
(760) 353-3222
Entity
Organization
Contact information
Practice address
15525 POMERADO RD STE E1&E2, POWAY, CA 92064-2435
(858) 524-6177
(858) 524-6195
Mailing address
PO BOX 2575, ALPINE, CA 91903-2575
(760) 353-3222
(760) 353-3311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/10/2024
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