Organization
CALIFORNIA PACIFIC CARDIOVASCULAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE N. BRENT M.D. (PRESIDENT)
(415) 923-3006
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST, SUITE 516, SAN FRANCISCO, CA 94115-2373
(415) 923-3006
Mailing address
2100 WEBSTER ST, SUITE 516, SAN FRANCISCO, CA 94115-2373
(415) 923-3006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0061151
MEDICAL
CA
Enumeration date
08/12/2006
Last updated
08/22/2020
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