South Bay Cardiology
Internal Medicine in Chula Vista, CA. Organization (NPI-2).
NPI number1306993175
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1306993175
- Entity type
- Organization (NPI-2)
- Legal business name
- South Bay Cardiology
- Organization subpart
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A30887 | CA | Yes |
Practice location
765 Medical Center CtSuite 211
Chula Vista, CA 91911-6600
Phone 619-216-3113 · Fax 619-216-3115
Mailing address
765 Medical Center CtSuite 211
Chula Vista, CA 91911-6600
Phone 619-216-3113 · Fax 619-216-3115
Authorized official
Tomas Eduardo Romero
President
6192163113
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