Organization
SOUTHERN CALIFORNIA HEART SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY D BIGGLES (BUSINESS OFFICE MANAGER)
(626) 793-1227
Entity
Organization
Contact information
Practice address
55 E CALIFORNIA BLVD, 3RD FLOOR, PASADENA, CA 91105-3954
(626) 793-1227
(626) 793-3794
Mailing address
55 E CALIFORNIA BLVD, 3RD FLOOR, PASADENA, CA 91105-3954
(626) 793-1227
(626) 793-3794
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
FNP23413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2366
RAIL ROAD MEDICARE
CA
01
—
CI6769
RAIL ROAD MEDICARE
CA
05
—
GR0069260
—
CA
05
—
GR0069261
—
CA
01
—
ZZZ51242Z
BLUE SHIELD
CA
Enumeration date
05/01/2006
Last updated
06/17/2008
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