Organization
CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI IBARRA CPC. CCC (BILLING MANAGER)
(626) 657-7172
Entity
Organization
Contact information
Practice address
3235 E COLORADO BLVD, SUITE 201, PASADENA, CA 91107-3813
(626) 577-7050
(626) 577-7059
Mailing address
3235 E COLORADO BLVD, SUITE 201, PASADENA, CA 91107-3813
(626) 577-7050
(626) 577-7059
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A53493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53493
STATE LICENSE
CA
Enumeration date
05/17/2007
Last updated
04/25/2026
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