Organization
CARDIOLOGY INTERNAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART L WILLSON M.D. (PRESIDENT)
(213) 977-1144
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 903, LOS ANGELES, CA 90017-4810
(213) 977-1144
(213) 482-2182
Mailing address
1245 WILSHIRE BLVD, SUITE 903, LOS ANGELES, CA 90017-4809
(213) 977-1144
(213) 482-2182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
11/09/2022
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