Organization
PEDIATRIC CARDIOLOGY SPECIALISTS MEDICAL GROUP INC
Active
Other names
Mohammad Kanakriyeh, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KANAKRIYEH MD (PRESIDENT)
(909) 886-5200
Entity
Organization
Contact information
Practice address
350 E VANDERBILT WAY STE A, SAN BERNARDINO, CA 92408-3593
(909) 886-5200
(949) 336-3827
Mailing address
350 E VANDERBILT WAY STE A, SAN BERNARDINO, CA 92408-3593
(909) 886-5200
(949) 336-3827
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
00A425260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356541429
—
CA
Enumeration date
07/18/2007
Last updated
02/10/2026
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