Cardiovascular Institute of Southern California

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A53800 Issued in CA

Legal business name

CARDIOVASCULAR INSTITUTE OF SOUTHERN CALIFORNIA

Practice address

43807 10TH St W
Ste D
Lancaster, CA 93534-4805

Phone

(661) 940-5500

NPI assigned

Sep 17, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanwaljit S Gill, MD

Title

Partner Owner

Phone

(661) 940-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720274400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43807 N 10TH ST W",
            "address_2": "STE D",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344805",
            "telephone_number": "661-940-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43807 10TH ST W",
            "address_2": "STE D",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344805",
            "telephone_number": "661-940-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KANWALJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "661-940-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A53800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.