Organization
SOUTH VALLEY HEART CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SHAHAB MANAVI MD (PRESIDENT)
(818) 990-1445
Entity
Organization
Contact information
Practice address
18345 VENTURA BLVD STE 420, TARZANA, CA 91356-4243
(818) 990-1445
(818) 990-1444
Mailing address
PO BOX 260602, ENCINO, CA 91426-0602
(818) 990-1445
(818) 990-1444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G69875
BLUE SHIELD
CA
05
—
00G698750
—
CA
Enumeration date
07/08/2006
Last updated
02/05/2025
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