Organization
HEART AND WELLNESS CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUSZ W WYSOCZANSKI M.D. (CEO)
(619) 434-4288
Entity
Organization
Contact information
Practice address
502 EUCLID AVE, SUITE #104, NATIONAL CITY, CA 91950-2931
(619) 434-4288
(888) 501-2443
Mailing address
502 EUCLID AVE, SUITE #104, NATIONAL CITY, CA 91950-2931
(619) 434-4288
(888) 501-2443
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C55986
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A76050
CA
207RI0011X
Interventional Cardiology Physician
A124001
CA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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