South Bay Electrophysiology INC
Internal Medicine, Clinical Cardiac Electrophysiology in Hawthorne, CA. Organization (NPI-2).
NPI number1346589900
StatusActive
Last updated in NPPESApr 1, 2013
Details
- NPI
- 1346589900
- Entity type
- Organization (NPI-2)
- Legal business name
- South Bay Electrophysiology INC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2013
- Last updated
- Apr 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – |
Practice location
11633 Hawthorne BlvdSuite 400
Hawthorne, CA 90250-2321
Phone 310-973-0600
Mailing address
11633 Hawthorne BlvdSuite 400
Hawthorne, CA 90250-2321
Authorized official
Duane Bridges
President
3109730600
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