Healthcare Provider Details

I. General information

NPI: 1255604435
Provider Name (Legal Business Name): LOS ANGELES CARDIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N GARFIELD AVE 1ST FLOOR
MONTEREY PARK CA
91754-1102
US

IV. Provider business mailing address

1245 WILSHIRE BLVD SUITE 703
LOS ANGELES CA
90017-4810
US

V. Phone/Fax

Practice location:
  • Phone: 626-307-6600
  • Fax:
Mailing address:
  • Phone: 213-977-0419
  • Fax: 213-250-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. DANA RHONE HUNT
Title or Position: CFO
Credential:
Phone: 213-977-7418