MEDICARE: CALIFORNIA HEART AND LUNG SURGERY MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A72254	CA

General Provider Information

NPI Number	:	1982802690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA HEART AND LUNG SURGERY MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	6253 HOLLYWOOD BLVD APT 1108
Second Line	:
City	:	HOLLYWOOD
State	:	CA
Zip	:	90028-8261
Country	:	US
Telephone Number	:	949-588-2190
Fax Number	:	949-588-2199

Provider Business Practice Location Address
First Line	:	269 S BEVERLY DR
Second Line	:	#444
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3807
Country	:	US
Telephone Number	:	949-588-2190
Fax Number	:	949-588-2199

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXANDER MARMUREANU
Credential	:	MD
Telephone Number	:	949-588-2190

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	12/04/2018

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