Organization Active NPI

Reliance Cardiac Care, Inc.

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1427307230
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RELIANCE CARDIAC CARE, INC.
Practice address
222 W Eulalia St
Suite 311
Glendale, CA 91204-2849
Phone
(818) 550-7533
Fax
(818) 550-7532
NPI assigned
Sep 7, 2012
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David M Lee, M.D.
Title
President
Phone
(760) 977-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

222 W Eulalia St
Suite 311
Glendale, CA 91204-2849

Mailing address

333 W Garvey Ave
# 154-B
Monterey Park, CA 91754-7430
Phone (760) 277-8888

Other identifiers 1

IdentifierTypeStateIssuer
GP873AOtherCAMEDICARE PTAN #

National Provider Directory

National Provider Directory

Locations

333 W Garvey Ave
#154B
Monterey Park, CA 91754

333 W Garvey Ave
Ste 154B
Monterey Park, CA 91754

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1427307230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W GARVEY AVE",
            "address_2": "# 154-B",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547430",
            "telephone_number": "760-277-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "SUITE 311",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-550-7533",
            "fax_number": "818-550-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE CARDIAC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-977-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "GP873A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.