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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

NPI # 1649654062
LBN Legal business name FONTANA CARDIOVASCULAR GROUP INC
Authorized official GREG FONTANA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2015
Last updated 07/15/2015 - About 11 years ago
Identifiers n/a
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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