Organization
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Active
Parent organization
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Authorized official
DR. ISAAC WIENER M.D. (PHYSICIAN / MANAGING PARTNER)
(818) 782-5041
Entity
Organization
Contact information
Practice address
23929 MCBEAN PKWY, SUITE 216, VALENCIA, CA 91355-4466
(661) 259-1534
(661) 284-3670
Mailing address
16542 VENTURA BLVD STE 402, ENCINO, CA 91436-4562
(818) 782-5041
(818) 205-9091
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W119
LEGACY NUMBER
CA
01
—
W119C
MEDICARE GROUP PROVIDER #
CA
Enumeration date
08/09/2007
Last updated
01/23/2023
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