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Organization

FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANKARLINGAM SAINATH M.D. (PRESIDENT)
(714) 540-9911
Entity
Organization

Contact information

Practice address
11100 WARNER AVENUE, SUITE # 268, FOUNTAIN VALLEY, CA 92708-7512
(714) 540-9911
(714) 549-9720
Mailing address
11100 WARNER AVENUE, SUITE # 268, FOUNTAIN VALLEY, CA 92708-7512
(714) 540-9911
(714) 549-9720

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25451
CA
207RC0000X
Cardiovascular Disease Physician
A31505
CA
207RG0100X
Gastroenterology Physician
A25691
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114085362
INDIVIDUAL NPI SINGH
01
1366500514
INDIVIDUAL NPI MALHOTRA
01
1811050081
INDIVIDUAL NPI SAINATH
01
A25451
STATE ID SINGH
CA
01
A25691
STATE ID SAINATH
CA
01
A31505
STATE ID MALHOTRA
CA
01
WA25451C
PTAN SINGH
01
WA25691E
PTAN SAINATH
01
WA31505B
PTAN MALHOTRA
05
ZZZ71176Z
CA
Enumeration date
04/03/2007
Last updated
03/16/2012
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