Organization
CARDIOVASCULAR INTERVENTIONAL SURGERY CENTER
Active
Organization
CARDIOVASCULAR INTERVENTIONAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL V SHAH MD (PRESIDENT)
(714) 290-5322
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST STE 108B, SANTA ANA, CA 92704-5718
(714) 754-1684
(714) 966-0417
Mailing address
2621 S BRISTOL ST STE 108B, SANTA ANA, CA 92704-5718
(714) 754-1684
(714) 966-0417
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
05/05/2021
Last updated
05/12/2021
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