Organization
SHEREV HEART AND VASCULAR CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRI ATANASOV SHEREV MD (CEO)
(619) 867-0557
Entity
Organization
Contact information
Practice address
1380 EL CAJON BLVD STE 100, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Mailing address
1380 EL CAJON BLVD STE 212, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A70917
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
A70917
CA
207UN0901X
Nuclear Cardiology Physician
A70917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9024740
—
CA
Enumeration date
05/21/2014
Last updated
07/03/2024
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