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NPI Code Detail

MEDICARE: COR HEALTHCARE MEDICAL ASSOCIATES

MEDICARE: COR HEALTHCARE MEDICAL ASSOCIATES
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
1207RC0000XCardiovascular Disease Physician
2207RC0001XClinical Cardiac Electrophysiology Physician
3207RI0011XInterventional Cardiology Physician
4363L00000XNurse Practitioner
5207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1699864215
Entity Type Code : Organization
Provider Name (Legal Business Name) : COR HEALTHCARE MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 1360 W. 6TH ST.
Second Line : SUITE 315
City : SAN PEDRO
State : CA
Zip : 90732-3581
Country : US
Telephone Number : 310-547-9922
Fax Number : 310-781-1425
Provider Business Practice Location Address
First Line : 2841 LOMITA BLVD.
Second Line : SUITE 100
City : TORRANCE
State : CA
Zip : 90505-5100
Country : US
Telephone Number : 310-257-0508
Fax Number : 310-325-8109
Authorized Official
Title or Position : MANAGING PARTNER
Name : ANKUSH K CHHABRA JR.
Credential : M.D.
Telephone Number : 310-257-0508
Provider Enumeration Date : 10/12/2006
Last Update Date : 06/16/2023

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Directions to “COR HEALTHCARE MEDICAL ASSOCIATES ” Practice Location

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