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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