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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