Organization
HIGH DESERT HEART INSTITUTE MEDICAL CORPORATION
Active
Organization
HIGH DESERT HEART INSTITUTE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVA ARUNASALAM M.D. (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 241-2270
(760) 241-4081
Mailing address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 241-2270
(760) 241-4081
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G66022
CA
207UN0901X
Nuclear Cardiology Physician
G66022
CA
2085N0904X
Nuclear Radiology Physician
G66022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437173804
—
CA
Enumeration date
07/27/2006
Last updated
07/16/2015
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