Healthcare Provider Details

I. General information

NPI: 1639278476
Provider Name (Legal Business Name): CALIFORNIA HEART SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18800 MAIN ST STE 103
HUNTINGTON BEACH CA
92648-1717
US

IV. Provider business mailing address

18685 MAIN ST STE 101-616
HUNTINGTON BEACH CA
92648-1723
US

V. Phone/Fax

Practice location:
  • Phone: 714-842-8100
  • Fax: 714-842-8181
Mailing address:
  • Phone: 714-842-8100
  • Fax: 714-842-8181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA64376
License Number StateCA

VIII. Authorized Official

Name: DR. MAJED CHANE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-842-8100