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General NPI Number Information
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NPI Number | 1083259220
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Entity Type | Organization
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Legal Business Name | LA CARDIOLOGY, INC.
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 11544 DOWNEY AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4955
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Country | US
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Telephone | 562-414-9846
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Fax | 562-923-7209
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Provider Business Mailing Address
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Address Line | 11544 DOWNEY AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4955
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Country | US
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Telephone | 562-414-9846
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Fax | 562-923-7209
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUGLAS SEGAL
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Credential | MD
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Telephone | 562-414-9846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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