Organization
CARDIO VASCULAR CLINIC INC
Active
Organization
CARDIO VASCULAR CLINIC INC
Active
Other names
Cardio Vascular Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAIF TAWAKOL M.D. (OWNER)
(209) 723-2037
Entity
Organization
Contact information
Practice address
812 W 18TH ST, MERCED, CA 95340-4605
(209) 723-2037
(209) 723-8767
Mailing address
812 W 18TH ST, MERCED, CA 95340-4605
(209) 723-2037
(209) 723-8767
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C40824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068610
—
CA
Enumeration date
01/03/2008
Last updated
05/16/2012
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