Organization
DIAMOND BAR CARDIOVASCULAR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINGCHU YANG (OFFICE MANAGER)
(909) 396-8228
Entity
Organization
Contact information
Practice address
654 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 396-8228
(909) 396-8227
Mailing address
654 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 396-8228
(909) 396-8227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A44181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA441811
—
CA
Enumeration date
10/06/2006
Last updated
05/07/2015
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