Organization
SOUTHBAY CARDIOVASCULAR MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULO C. GUILLINTA M.D. (PROVIDER)
(619) 427-8646
Entity
Organization
Contact information
Practice address
480 4TH AVE, SUITE 401, CHULA VISTA, CA 91910-4410
(619) 427-8646
(619) 425-7128
Mailing address
480 4TH AVE, SUITE 401, CHULA VISTA, CA 91910-4410
(619) 427-8646
(619) 425-7128
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A74999
MEDICAL LICENSE
CA
Enumeration date
06/25/2006
Last updated
08/22/2020
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