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General NPI Number Information
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NPI Number | 1770707176
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HEART CENTER FOUNDATION
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ SUITE 600
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-825-8900
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Fax | 310-267-0019
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Provider Business Mailing Address
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Address Line | 100 UCLA MEDICAL PLZ SUITE 600
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-825-8900
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Fax | 310-267-0019
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ERIC N. MARTON
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Credential |
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Telephone | 310-825-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | EXEMPT - 1206G
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License Number State | CA
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