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Contact Information

SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC
320 SANTA FE DR
SUITE 204
ENCINITAS, CA92024-5138
 Phone: 760-944-7300
 Fax: 760-633-3949
 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 SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC

NPI Number 1427069103
LBN Legal business name SAN DIEGO CARDIOVASCULAR ASSOCIATES MEDICAL GROUP INC
Authorized official JOHN BACKMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 12/19/2023 - About 2 years ago
Identifiers
CA Medicaid GR0089260
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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