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Contact Information

ICARDIO CORPORATION A MEDICAL CORPORATION
1531 GLENVILLE DRIVE
LOS ANGELES, CA90035
 Phone: 310-551-2750
 Fax: 310-861-5620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist Cardiovascular, Sonography

246XS1301X
Indicates primary specialty

NPI Profile & details for ICARDIO CORPORATION A MEDICAL CORPORATION

NPI # 1386753515
LBN Legal business name ICARDIO CORPORATION A MEDICAL CORPORATION
Authorized official JOSHUA PENN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 07/29/2009 - About 17 years ago
Identifiers
CA License # G76919
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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