Healthcare Provider Details

I. General information

NPI: 1851318810
Provider Name (Legal Business Name): CARDIAC IMAGING ASSOCIATES A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8581 SANTA MONICA BLVD # 471
LOS ANGELES CA
90069-4120
US

IV. Provider business mailing address

8581 SANTA MONICA BLVD # 471
LOS ANGELES CA
90069-4120
US

V. Phone/Fax

Practice location:
  • Phone: 323-655-7610
  • Fax:
Mailing address:
  • Phone: 323-655-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD CHARLES LEWIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 323-655-7610