Organization
PETER T KATSIYIANNIS, MD, INC.
Active
Organization
PETER T KATSIYIANNIS, MD, INC.
Active
Other names
Heart Institute of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T KATSIYIANNIS M.D (PRESIDENT)
(951) 699-0303
Entity
Organization
Contact information
Practice address
2623 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(323) 583-1931
Mailing address
PO BOX 1284, TEMECULA, CA 92593-1284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G88008
CA
207RC0000X
Cardiovascular Disease Physician
G88008
CA
207RI0011X
Interventional Cardiology Physician
Primary
G88008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G880080
MEDI-CAL
CA
Enumeration date
03/10/2008
Last updated
11/19/2009
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