Organization
CARDIOVASCULAR CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R LICHT MD (PRESIDENT)
(562) 598-3200
Entity
Organization
Contact information
Practice address
3801 KATELLA AVENUE, SUITE 401, LOS ALAMITOS, CA 90720-3375
(562) 598-3200
(562) 598-1945
Mailing address
3801 KATELLA AVENUE, SUITE 401, LOS ALAMITOS, CA 90720-3375
(562) 598-3200
(562) 598-1945
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066010
—
CA
Enumeration date
02/13/2007
Last updated
08/10/2011
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