Organization
CARDIOVASCULAR CONSULTANTS OF THE INLAND VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA ROBLEDO (ADMINISTRATOR)
(951) 601-2363
Entity
Organization
Contact information
Practice address
12810 HEACOCK ST, SUITE B201, MORENO VALLEY, CA 92553-2854
(951) 601-2363
(951) 601-2316
Mailing address
12810 HEACOCK ST, SUITE B201, MORENO VALLEY, CA 92553-2854
(951) 601-2363
(951) 601-2316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071570
—
CA
Enumeration date
07/04/2006
Last updated
06/19/2008
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