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NPI Profile for BIG BEAR LAKE MEDICAL GROUP INC in BIG BEAR LAKE, CA.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine |
| NPI Number | 1174783989 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2008 | |
| Last updated | 09/09/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BIG BEAR LAKE MEDICAL GROUP INC
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BIG BEAR LAKE MEDICAL GROUP INC