Organization
CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION
Active
Parent organization
CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION
Other names
Central Coast Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION
Authorized official
TIMOTHY S. ALBERT MD (PRESIDENT)
(831) 758-2100
Entity
Organization
Contact information
Practice address
5 LOWER RAGSDALE DR, #102, MONTEREY, CA 93940-5817
(831) 649-3375
(831) 233-5182
Mailing address
230 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 758-2100
(831) 758-0311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0059321
—
CA
01
—
ZZZ55762Z
BLUE SHIELD FOR MONTEREY CD
CA
Enumeration date
07/14/2005
Last updated
08/02/2010
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