Organization
ADVANCED CARDIOVASCULAR INTERPRETATION MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN SHIENER M.D. (PRESIDENT)
(818) 501-5686
Entity
Organization
Contact information
Practice address
14500 SHERMAN CIR, VAN NUYS, CA 91405-3052
(818) 501-5686
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088310
—
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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