MEDICARE: CITY OF HOPE CARDIOVASCULAR CARE AND THERAPEUTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1629434949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HOPE CARDIOVASCULAR CARE AND THERAPEUTICS

Provider Business Mailing Address
First Line	:	840 S RANCHO DR # 4-340
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3837
Country	:	US
Telephone Number	:	702-418-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 S RANCHO DR # 4-340
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3837
Country	:	US
Telephone Number	:	702-418-3000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	COLLINS A KWARTENG
Credential	:	MD
Telephone Number	:	702-418-3000

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	01/04/2016

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