Organization
CLEAN HEART CARDIOLOGY PC
Active
Organization
CLEAN HEART CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOOD KISRA MD (PRESIDENT)
(909) 713-2323
Entity
Organization
Contact information
Practice address
1800 WESTERN AVE STE 302, SAN BERNARDINO, CA 92411-1354
(909) 713-2323
(909) 340-4421
Mailing address
1800 WESTERN AVE STE 302, SAN BERNARDINO, CA 92411-1354
(909) 713-2323
(909) 340-4421
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
07/08/2024
Last updated
11/22/2024
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