Southern California Heart and Vascular Center
Organization Active NPI Clinical Cardiac Electrophysiology Physician · Los Angeles, CA
NPI 1972158756 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1972158756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- Legal business name
- SOUTHERN CALIFORNIA HEART AND VASCULAR CENTER
- Practice address
- 1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428 - Phone
- (949) 413-3201
- NPI assigned
- Aug 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Miguel Salazar, MD
- Title
- Medical Director
- Phone
- (949) 413-3201
Practitioners 6
-
Elba Espinoza, NP
-
Christine Cancino, AGACNP-BC
-
Vahe Badalian, M.D.
-
Mohan N Lakhani, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191203003243 | CA | Part B Supplier - Clinic/Group Practice | 9931532041 |
Receives reassigned benefits from 4 practitioners Practice locations: Los Angeles, CA; Montebello, CA; Simi Valley, CA |
National Provider Directory
Locations
1560 E Chevy Chase Dr
Glendale, CA 91206
Phone (818) 243-1135
1530 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 247-9200
101 E Beverly Blvd
Ste 404
Montebello, CA 90640
Phone (323) 594-8667
101 E Beverly Blvd
Ste 102
Montebello, CA 90640
Phone (323) 728-0655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | Yes |
Addresses
Primary practice location
1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428
Mailing address
1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428
Other providers in Los Angeles, CA
- Southern California Family Medicine Clinic, Inc
- Southern California Foot and Ankle Medical Center
- Southern California Health & Rehabilitation Program
- Southern California Health & Rehabilitation Program
- Southern California Health & Rehabilitation Program
- Southern California Heart Centers Inc
- Southern California Medical Gastroenterology Group, Inc
- Southern California Medical Group
- Southern California Permanente Medical Group
- Southern California Permanente Medical Group
All providers in Los Angeles, CA · Clinical Cardiac Electrophysiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.