Healthcare Provider Details

I. General information

NPI: 1316574890
Provider Name (Legal Business Name): WOODLAND HILLS CARDIOLOGY GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOODLAND HILLS CARDIOLOGY GROUP, PC 22900 VENTURA BLVD, STE 165
WOODLAND HILLS CA
91364
US

IV. Provider business mailing address

WOODLAND HILLS CARDIOLOGY GROUP, PC P O BOX 5704
BEVERLY HILLS CA
90209-5704
US

V. Phone/Fax

Practice location:
  • Phone: 818-222-1150
  • Fax: 818-222-1145
Mailing address:
  • Phone: 818-222-1150
  • Fax: 818-222-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RUDY R REZZADEH
Title or Position: OWNER
Credential: M.D
Phone: 818-696-1600