Organization
FOOTHILL CARDIOLOGY MEDICAL GROUP INC
Active
Organization
FOOTHILL CARDIOLOGY MEDICAL GROUP INC
Active
Other names
Foothill Cardiology California Heart Medical Group Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTO GONZALEZ (CFO)
(626) 793-2885
Entity
Organization
Contact information
Practice address
625 S FAIR OAKS AVE STE 215, PASADENA, CA 91105-2613
(626) 793-4139
(626) 793-4324
Mailing address
PO BOX 80011, CITY OF INDUSTRY, CA 91716-8011
(626) 793-2885
(626) 396-9952
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0041530
—
CA
Enumeration date
05/12/2006
Last updated
08/12/2024
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