Healthcare Provider Details
I. General information
NPI: 1104032069
Provider Name (Legal Business Name): CARDIAC NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2007
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
833 MARKET ST 10TH FLOOR
SAN FRANCISCO CA
94103-1814
US
IV. Provider business mailing address
833 MARKET ST 10TH FLOOR
SAN FRANCISCO CA
94103-1814
US
V. Phone/Fax
- Phone: 415-362-2020
- Fax: 415-249-0990
- Phone: 415-362-2020
- Fax: 415-249-0990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ZEEV
HELFER
Title or Position: CEO
Credential:
Phone: 415-362-2020