Organization
CALIFORNIA CARDIOVASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHIT JAIN MD (CEO)
(510) 796-0222
Entity
Organization
Contact information
Practice address
2333 MOWRY AVE, SUITE 300, FREMONT, CA 94538-1625
(510) 796-0222
(510) 796-7760
Mailing address
2333 MOWRY AVE, SUITE 300, FREMONT, CA 94538-1625
(510) 796-0222
(510) 796-7760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055250
—
CA
Enumeration date
09/06/2006
Last updated
11/18/2013
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