Organization
CARDIAC IMAGING CONSULTANTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A TRIPODI (PRACTICE ADMINISTRATOR)
(714) 402-1551
Entity
Organization
Contact information
Practice address
63 BOVET RD, SUITE 424, SAN MATEO, CA 94402-3104
(714) 402-1551
Mailing address
6380 WILSHIRE BLVD, SUITE 1109, LOS ANGELES, CA 90048-5003
(714) 402-1551
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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