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General NPI Number Information
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NPI Number | 1285228056
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Entity Type | Organization
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Legal Business Name | LOS ANGELES CARDIOVASCULAR CARE
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 50 BELLEFONTAINE ST STE 302
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-427-7041
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Fax | 323-336-9319
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Provider Business Mailing Address
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Address Line | 281 E COLORADO BLVD # 751
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City | PASADENA
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State | CA
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Zip | 91101-1903
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Country | US
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Telephone | 323-448-0334
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Fax |
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Authorized Official
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Title or Position | CEO AND OWNER OF PRACTICE
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Name | DR. SOHA AHMAD
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Credential | MD
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Telephone | 323-448-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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