Organization
INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILLIAMS (OFFICE MANAGER)
(714) 523-7122
Entity
Organization
Contact information
Practice address
5471 LA PALMA AVE, 103, LA PALMA, CA 90623-1745
(714) 523-7122
(714) 523-9813
Mailing address
5471 LA PALMA AVE, 103, LA PALMA, CA 90623-1745
(714) 523-7122
(714) 523-9813
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C39836
CA
Other
Enumeration date
03/30/2007
Last updated
09/13/2016
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