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Contact Information

FOOTHILL CARDIOLOGY MEDICAL GROUP INC
625 S FAIR OAKS AVE STE 215
PASADENA, CA91105-2613
 Phone: 626-793-4139
 Fax: 626-793-4324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Cardiac Rehabilitation

163WC3500X
Indicates primary specialty

NPI Profile & details for FOOTHILL CARDIOLOGY MEDICAL GROUP INC

NPI Number 1255382545
LBN Legal business name FOOTHILL CARDIOLOGY MEDICAL GROUP INC
Authorized official LORETTO GONZALEZ - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 08/12/2024 - More than a year ago
Identifiers
CA Medicaid GR0041530
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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