Healthcare Provider Details

I. General information

NPI: 1235269770
Provider Name (Legal Business Name): HEARTVIEW DIAGNOSTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N HARBOR BLVD STE. # 104
FULLERTON CA
92835-4126
US

IV. Provider business mailing address

13152 SUTTON ST
CERRITOS CA
90703-8731
US

V. Phone/Fax

Practice location:
  • Phone: 562-244-0065
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCIA DABU
Title or Position: OFFICE MANAGER
Credential:
Phone: 562-244-0066