Organization
CARDIOVASCULAR CONSULTANTS OF SAN GABRIEL VALLEY, INC.
Active
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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