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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
ISAAC WIENER MD (MANAGING PARTNER)
(818) 782-5041
Entity
Organization

Contact information

Practice address
16542 VENTURA BLVD, SUITE 402, ENCINO, CA 91436-2005
(818) 782-5041
(818) 782-4864
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
207RI0011X
Interventional Cardiology Physician
207UN0901X
Nuclear Cardiology Physician

Other

Enumeration date
05/02/2014
Last updated
01/23/2023
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