Organization
SANTA CLARITA CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization
SANTA CLARITA CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD ETON QUAN M.D. (PRESIDENT)
(661) 255-8321
Entity
Organization
Contact information
Practice address
23928 LYONS AVE STE 101, NEWHALL, CA 91321-2452
(661) 255-8321
(661) 255-0338
Mailing address
23928 LYONS AVE STE 101, NEWHALL, CA 91321-2452
(661) 255-8321
(661) 255-0338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CORP#2878253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ576762
BLUE SHIELD
—
Enumeration date
01/12/2007
Last updated
02/03/2014
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