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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