National Provider Identifier Database

GRASS VALLEY CARDIOLOGY MEDICAL GROUP
Cardiovascular Disease

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.


Contact Information

GRASS VALLEY CARDIOLOGY MEDICAL GROUP
150 CATHERINE LANE D
GRASS VALLEY, CA95945
Phone: 530-477-8358
Fax: 530-477-2015
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for GRASS VALLEY CARDIOLOGY MEDICAL GROUP

NPI Number 1023062171
Legal business name
LBN
GRASS VALLEY CARDIOLOGY MEDICAL GROUP
Authorized official NANCY BENTON - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2006
Last updated 08/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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