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General NPI Number Information
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NPI Number | 1164627295
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY OF SOUTHERN CALIFORNIA
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 655 EUCLID AVE SUITE 304
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City | NATIONAL CITY
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State | CA
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Zip | 91950
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Country | US
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Telephone | 619-470-7700
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Fax | 619-470-0996
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Provider Business Mailing Address
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Address Line | P. O. BOX 12607
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City | LA JOLLA
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State | CA
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Zip | 92039
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Country | US
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Telephone | 619-470-7700
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Fax | 619-470-0996
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT J SHARF
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Credential | M.D.
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Telephone | 619-470-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G72122
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License Number State | CA
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