Organization
CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENESSA L GRIFFIN CPC (BUSINESS OFFICE MANAGER)
(661) 327-8538
Entity
Organization
Contact information
Practice address
3838 SAN DIMAS ST, SUITE A-100, BAKERSFIELD, CA 93301-2284
(661) 327-8538
(661) 327-5432
Mailing address
3838 SAN DIMAS ST, SUITE A-100, BAKERSFIELD, CA 93301-2284
(661) 327-8538
(661) 327-5432
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060120
—
CA
01
—
ZZZ42099Z
BLUE SHIELD GROUP ID
—
Enumeration date
09/25/2006
Last updated
04/10/2012
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