Organization
SOUTHERN CALIFORNIA HEART CENTERS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEATRICE CHING (ADMINISTRATOR)
(626) 308-3800
Entity
Organization
Contact information
Practice address
506 W VALLEY BLVD STE 100, SAN GABRIEL, CA 91776-5716
(626) 308-3800
(626) 308-1899
Mailing address
506 W VALLEY BLVD STE 100, SAN GABRIEL, CA 91776-5716
(626) 308-3800
(626) 308-1899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A46648
CA
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085B0100X
Body Imaging Physician
A46648
CA
2085N0904X
Nuclear Radiology Physician
A46648
CA
2085R0202X
Diagnostic Radiology Physician
A46648
CA
2085U0001X
Diagnostic Ultrasound Physician
A46648
CA
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060057318
RAILROAD MEDICARE
—
05
—
GRO102710
—
CA
01
—
ZZZ59664Z
BLUE SHIELD OF CA
CA
Enumeration date
06/20/2006
Last updated
07/07/2025
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