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Contact Information

FONTANA CARDIOVASCULAR GROUP INC
8635 WEST THRID STREET
SUITE 750W
LOS ANGELES, CA90048
 Phone: 310-659-2030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FONTANA CARDIOVASCULAR GROUP INC · (Female)

NPI # 1649654062
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2015
Last updated 07/15/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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