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Organization

IE CARDIOLOGY FACULTY MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJOGOPAL KRISHNAN M.D. (PRESIDENT)
(951) 486-5600
Entity
Organization

Contact information

Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5600
(951) 486-5705
Mailing address
PO BOX 1579, LOMA LINDA, CA 92354-1579
(951) 486-5600
(951) 486-5705

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G070671
CA

Other

Enumeration date
04/16/2014
Last updated
04/16/2014
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