Organization
ICARDIO CORPORATION A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA PENN MD (PRESIDENT)
(310) 551-2750
Entity
Organization
Contact information
Practice address
1531 GLENVILLE DRIVE, LOS ANGELES, CA 90035
(310) 551-2750
(310) 861-5620
Mailing address
1531 GLENVILLE DRIVE, LOS ANGELES, CA 90035
(310) 551-2750
(310) 861-5620
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
G76919
CA
Other
Enumeration date
08/30/2006
Last updated
07/29/2009
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