Healthcare Provider Details

I. General information

NPI: 1750542916
Provider Name (Legal Business Name): PACIFIC ARRHYTHMIA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8851 CENTER DR STE 405
LA MESA CA
91942-3198
US

IV. Provider business mailing address

PO BOX 2187
LA MESA CA
91943-2187
US

V. Phone/Fax

Practice location:
  • Phone: 619-668-0044
  • Fax: 619-668-0889
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA71799
License Number StateCA

VIII. Authorized Official

Name: ALBORZ HASSANKHANI
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 619-668-0044