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NPI Code Detail

MEDICARE: NORTHERN CALIFORNIA HEART CARE

MEDICARE: NORTHERN CALIFORNIA HEART CARE
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
1207RC0001XClinical Cardiac Electrophysiology PhysicianA80799CA

General Provider Information

NPI Number : 1891786281
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN CALIFORNIA HEART CARE
Provider Business Mailing Address
First Line : PO BOX 1410
Second Line :
City : SUISUN CITY
State : CA
Zip : 94585-4410
Country : US
Telephone Number : 415-493-3311
Fax Number : 415-493-3302
Provider Business Practice Location Address
First Line : 2 BON AIR RD
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1144
Country : US
Telephone Number : 415-927-7894
Fax Number : 415-924-4317
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. BARBARA H SWOR
Credential :
Telephone Number : 415-927-7894
Provider Enumeration Date : 11/03/2005
Last Update Date : 01/31/2008

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Directions to “NORTHERN CALIFORNIA HEART CARE ” Practice Location

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