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Organization

CARDIOVASCULAR CONSULTANTS OF SAN GABRIEL VALLEY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN MCDONOUGH (OFFICE MANAGER)
(626) 566-2750
Entity
Organization

Contact information

Practice address
900 S 1ST AVE, STE C, ARCADIA, CA 91006-7527
(626) 566-2750
(626) 566-2756
Mailing address
900 S 1ST AVE, STE C, ARCADIA, CA 91006-7527
(626) 566-2750
(626) 566-2756

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0102190
CA
01
W19755
MEDICARE
CA
01
ZZZ66477Z
BLUE SHIELD
CA
Enumeration date
05/24/2006
Last updated
03/12/2014
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