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Contact Information

ADVANCED CARDIOVASCULAR INTERPRETATION MEDICAL GROUP
14500 SHERMAN CIR
VAN NUYS, CA91405-3052
 Phone: 818-501-5686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED CARDIOVASCULAR INTERPRETATION MEDICAL GROUP

NPI # 1235274119
LBN Legal business name ADVANCED CARDIOVASCULAR INTERPRETATION MEDICAL GROUP
Authorized official ALAN SHIENER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid GR0088310
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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