PACIFIC HEART & VASCULAR MEDICAL GROUP
Organization (NPI-2)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1730312638- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 15810 S HARLAN RD STE. A, LATHROP, CA, 953308719
- Phone
- (209) 464-3615
- Fax
- (209) 464-1311
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
Primary License: CA #09-2629