| NPI | 1720183569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GOSS Practice Administrator, COO 805-782-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA C128646) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A63687) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A99253) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G54180) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G29696) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A114658) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G69997) | |
| 363AM0700X Physician Assistant Medical (Licence: CA PA23186) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A105051) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A54052) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G56853) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A116056) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G44009) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G58530) | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-09 |