Organization
INLAND EMPIRE CARDIOLOGY FACULTY MEDICAL ASSOCIATION INC
Active
Organization
INLAND EMPIRE CARDIOLOGY FACULTY MEDICAL ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAGOPAL KRISHNAN M.D. (PRESIDENT)
(951) 486-5700
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5700
(951) 486-5705
Mailing address
PO BOX 1579, LOMA LINDA, CA 92354-1579
(951) 486-5700
(951) 486-5705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A48568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094510
—
CA
Enumeration date
07/30/2006
Last updated
12/06/2011
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