Organization
FULLERTON CARDIOVASCULAR MED GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W LANDA M.D (PRESIDENT)
(714) 870-4665
Entity
Organization
Contact information
Practice address
2240 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-2635
(714) 870-2084
(714) 870-2085
Mailing address
2240 N HARBOR BLVD, SUITE 200, FULLERTON, CA 92835-2635
(714) 870-2084
(714) 870-2085
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/24/2006
Last updated
12/19/2014
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