Organization
CHILDREN'S HEART CLINIC
Active
Other names
Children's Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIOS A. HARTAS MD (PRESIDENT)
(571) 405-4012
Entity
Organization
Contact information
Practice address
411 N CENTRAL AVE STE 250, GLENDALE, CA 91203-2061
(818) 839-7101
Mailing address
12025 NEW DOMINION PKWY APT 307, RESTON, VA 20190-6267
(571) 405-4012
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
145986
CA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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