Organization
CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELVYN B BLEIFER M.D. (SENIOR PARTNER)
(310) 278-3400
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR, STE 1100, BEVERLY HILLS, CA 90210-4532
(310) 278-3400
(310) 278-1240
Mailing address
414 N CAMDEN DR, STE 1100, BEVERLY HILLS, CA 90210-4532
(310) 278-3400
(310) 278-1240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ71837Z
—
CA
Enumeration date
07/31/2006
Last updated
01/20/2009
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