Organization
CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHOLAM R MOHAMMADZADEH MD (PARTNER PHYSICIAN)
(805) 379-9456
Entity
Organization
Contact information
Practice address
2100 LYNN RD, SUITE 100, THOUSAND OAKS, CA 91360
(805) 379-9456
(805) 494-4330
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK7028
RAILROAD MEDICARE
—
05
—
GR0083753
—
CA
01
—
ZZZ23109Z
BLUE SHIELD
—
Enumeration date
07/02/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us