| NPI | 1730493768 |
|---|---|
| Doing Business As | AMERICAN CARDIO CARE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JERRY A. OKONKWOAGUOLU Medical Director 310-674-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA FNP39403) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA FNP39403) |
| 261QP3300X Clinic/Center, Pain (Licence: CA FNP39403) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |