=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679725618
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING CARDIOLOGY MEDICAL GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/22/2008
-----------------------------------------------------
Last Update Date | 07/26/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23521 PASEO DE VALENCIA STE 303
-----------------------------------------------------
City | LAGUNA HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92653-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-837-6600
-----------------------------------------------------
Fax | 949-837-6602
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23521 PASEO DE VALENCIA STE 303
-----------------------------------------------------
City | LAGUNA HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92653-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-837-6600
-----------------------------------------------------
Fax | 949-837-6602
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN / OWNER
-----------------------------------------------------
Name | DR. RAMIN RABBANI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 626-688-3024
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | G85130
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------