Organization
SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC
Active
Organization
SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET HAKE (CHIEF ADMINISTRATIVE OFFICER)
(858) 244-6870
Entity
Organization
Contact information
Practice address
3131 BERGER AVE, STE 200, SAN DIEGO, CA 92123-4233
(858) 244-6800
(858) 244-6892
Mailing address
3131 BERGER AVE, STE 200, SAN DIEGO, CA 92123-4233
(858) 244-6800
(858) 244-6892
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
B1987012812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0021760
—
CA
Enumeration date
10/03/2006
Last updated
08/17/2023
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