Healthcare Provider Details

I. General information

NPI: 1952754673
Provider Name (Legal Business Name): ARRHYTHMIA CENTER OF NORTHERN CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 ESPLANADE STE 3
CHICO CA
95926-3367
US

IV. Provider business mailing address

1645 ESPLANADE STE 3
CHICO CA
95926-3367
US

V. Phone/Fax

Practice location:
  • Phone: 530-893-8806
  • Fax: 530-893-8846
Mailing address:
  • Phone: 530-893-8806
  • Fax: 530-893-8846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA60788
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: VICKI LYNN PERO
Title or Position: BUSINESS MANAGER/SECURITY OFFICER
Credential:
Phone: 530-893-8806