Healthcare Provider Details

I. General information

NPI: 1326399742
Provider Name (Legal Business Name): LOS ANGELES CARDIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41210 11TH ST W SUITE G
PALMDALE CA
93551-1447
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 661-274-1777
  • Fax: 661-274-2777
Mailing address:
  • Phone: 213-977-7422
  • Fax: 213-250-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

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