Organization
HEART CENTER CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HUBERT M.D. (MANAGING PARTNER)
(805) 480-2600
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD, SUITE 180, THOUSAND OAKS, CA 91320-6440
(805) 480-2600
(805) 496-4801
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360-1980
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ035012
BLUE SHIELD
—
Enumeration date
06/26/2006
Last updated
03/24/2009
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