Organization
DIABLO CARDIOLOGY MEDICAL GROUP, INC
Active
Other names
COR Cardiovascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA SOLERO (ADMINISTRATOR)
(925) 937-1770
Entity
Organization
Contact information
Practice address
1399 YGNACIO VALLEY RD, SUITE 11, WALNUT CREEK, CA 94598-2884
(925) 937-1770
(925) 937-0630
Mailing address
1399 YGNACIO VALLEY RD, SUITE 11, WALNUT CREEK, CA 94598-2884
(925) 937-1770
(925) 937-0630
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ75752Z
MEDICARE PTAN
CA
Enumeration date
07/25/2006
Last updated
07/26/2013
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