Organization
LOS ANGELES CARDIOLOGY ASSOCIATES
Active
Other names
Los Angeles Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DANA R HUNT (CFO)
(213) 977-7418
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 703, LOS ANGELES, CA 90017-4807
(213) 977-0419
(213) 250-9416
Mailing address
1245 WILSHIRE BLVD, SUITE 703, LOS ANGELES, CA 90017-4807
(213) 977-0419
(213) 250-9416
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF9857
MEDICARE RAILRAOD
CA
05
—
GR0025120
—
CA
01
—
ZZZ11954Z
BLUE SHIELD
CA
01
—
ZZZ1954Z
BLUE SHIELD
CA
Enumeration date
04/26/2006
Last updated
06/13/2008
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