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General NPI Number Information
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NPI Number | 1861967168
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Entity Type | Organization
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Legal Business Name | LOS ANGELES HEART AND VEIN CENTER INC
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE STE 809
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City | LOS ANGELES
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State | CA
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Zip | 90027-6098
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Country | US
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Telephone | 323-660-7113
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Fax | 323-660-7116
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE STE 809
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City | LOS ANGELES
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State | CA
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Zip | 90027-6098
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Country | US
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Telephone | 323-660-7113
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Fax | 323-660-7116
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. JOSEPH S GHAZAL
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Credential | MD
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Telephone | 323-913-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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