Organization
CARDIAC ASSOCIATES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HENRY FLEISHER M.D. (PRESIDENT)
(818) 990-5665
Entity
Organization
Contact information
Practice address
16133 VENTURA BLVD, SUITE 1180, ENCINO, CA 91436-2403
(818) 990-5665
Mailing address
16161 VENTURA BLVD, #812, ENCINO, CA 91436-2522
(818) 990-5665
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ70768Z
—
CA
Enumeration date
12/21/2006
Last updated
11/16/2007
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