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General NPI Number Information
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NPI Number | 1588463780
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Entity Type | Organization
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Legal Business Name | SAN DIEGO INTERVENTIONAL CARDIOLOGY AMC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 501 WASHINGTON ST STE 512
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City | SAN DIEGO
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State | CA
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Zip | 92103-2238
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Country | US
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Telephone | 619-297-0014
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Fax | 619-297-1014
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Provider Business Mailing Address
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Address Line | 501 WASHINGTON ST STE 512
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City | SAN DIEGO
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State | CA
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Zip | 92103-2238
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Country | US
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Telephone | 619-297-0014
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Fax | 619-297-1014
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL C YANG
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Credential | MD
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Telephone | 619-297-0014
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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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