institution
Pacific Heart And Vascular Medical Group
Cardiovascular Disease Physician in Lodi, California
NPI 1790712990

Pacific Heart And Vascular Medical Group is a Cardiovascular Disease Physician based in Stockton, CA and is specialized in Cardiovascular Disease. Pacific Heart And Vascular Medical Group practices in Lodi, CA. The NPI Number for Pacific Heart And Vascular Medical Group is 1790712990 and holds a License No. FNP33233 (California).

The current practice location address for Pacific Heart And Vascular Medical Group is 845 S Fairmont Ave, Lodi, CA and can be reached out via phone at 209-334-0651 and via fax at 209-334-5013.

Location: 845 S Fairmont Ave, Lodi, CA, 95210-6629
institution
Provider Profile Details
NPI Number
1790712990
Provider Name
Pacific Heart And Vascular Medical Group
Credential
Provider Entity Type
Organization
Address
845 S Fairmont Ave, Lodi, CA, 95210-6629
Phone Number
209-334-0651
Fax Number
209-334-5013
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ59847Z 01 CA BC/BS GRP PROVIDER #
GR0086060 05 CA
060057321 01 CA RAILROAD MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
845 S Fairmont Ave
City
State
Zip
95240-5113
Phone Number
209-334-0651
Fax Number
209-334-5013
person
Provider Business Mailing Address Details
Address
845 S Fairmont Ave
City
State
Zip
95240-5113
Phone Number
209-334-0651
Fax Number
209-334-5013
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
FNP33233 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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