Organization
PACIFIC RIM ELECTROPHYSIOLOGY MEDICAL GRP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA M DREW (CHIEF FINANCIAL OFFICER)
(310) 672-9999
Entity
Organization
Contact information
Practice address
1700 CESAR E. CHAVEZ AVENUE, SUITE 2700, LOS ANGELES, CA 90033-2434
(310) 672-9999
(310) 861-0540
Mailing address
P.O. BOX 33679, LOS ANGELES, CA 90033-0679
(310) 672-9999
(310) 861-0540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A32891
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A32891
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A81336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090210
—
CA
Enumeration date
05/24/2005
Last updated
06/23/2009
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