Organization
CARDIOFIT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD J. SCUDERI M.D. (PRESIDENT/CEO)
(310) 791-5577
Entity
Organization
Contact information
Practice address
23456 HAWTHORNE BLVD STE 250, TORRANCE, CA 90505-4774
(310) 791-5577
(310) 791-5575
Mailing address
23456 HAWTHORNE BLVD STE 250, TORRANCE, CA 90505-4774
(310) 791-5577
(310) 791-5575
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G59477
CA
207RI0011X
Interventional Cardiology Physician
Primary
G594477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G594770
—
CA
Enumeration date
07/16/2006
Last updated
01/24/2019
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