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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