Organization
SOUTHERN CALIFORNIA HEART CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY LAU (OWNER)
(626) 608-3800
Entity
Organization
Contact information
Practice address
711 W COLLEGE ST, SUITE 300, LOS ANGELES, CA 90012-1163
(626) 308-3800
(626) 308-1899
Mailing address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776
(626) 308-3800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A46648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060059818
RAILROAD MEDICARE
—
05
—
GR0102711
—
CA
01
—
ZZZ59665Z
BLUE SHIELD OF CA
CA
Enumeration date
01/04/2007
Last updated
05/07/2008
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