Organization
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY A LITKE (ASST. ADMINISTRATOR)
(818) 782-5041
Entity
Organization
Contact information
Practice address
16550 VENTURA BLVD STE 122, ENCINO, CA 91436-2004
(818) 782-5041
(818) 205-9091
Mailing address
16542 VENTURA BLVD STE 402, ENCINO, CA 91436-4562
(818) 782-5041
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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