Organization
CARDIOLOGY ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL JANKE MBA (CHIEF OPERATING OFFICER)
(805) 275-4590
Entity
Organization
Contact information
Practice address
100 N BRENT ST STE 301, VENTURA, CA 93003-2836
(805) 653-0101
(805) 641-0434
Mailing address
100 N BRENT ST STE 301, VENTURA, CA 93003-2836
(805) 653-0101
(805) 643-6285
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0001490
—
CA
Enumeration date
09/20/2006
Last updated
06/10/2025
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