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General NPI Number Information
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NPI Number | 1689786436
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Entity Type | Organization
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Legal Business Name | CARDIAC MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 NORTH GLENOAKS BLVD SUITE B
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-260-0750
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Fax | 818-260-0257
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Provider Business Mailing Address
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Address Line | 220 NORTH GLENOAKS BLVD SUITE B
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-260-0750
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Fax | 818-260-0257
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MRS. MEREDITH ROJO TREIS
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Credential |
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Telephone | 818-260-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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