California Cardiovascular Consultants Medical Associates Cor
Internal Medicine in Hayward, CA. Organization (NPI-2).
NPI number1659623676
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1659623676
- Entity type
- Organization (NPI-2)
- Legal business name
- California Cardiovascular Consultants Medical Associates Cor
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A50605 | CA | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | G59337 | CA |
Practice location
27200 Calaroga AveHayward, CA 94545-4339
Phone 510-264-4046 · Fax 510-264-4192
Mailing address
2333 Mowry AveSuite 300
Fremont, CA 94538-1625
Phone 510-796-0222 · Fax 510-796-7760
Other practice locations
27225 Calaroga Ave
Hayward, CA 94545-4338
Hayward, CA 94545-4338
Phone 501-342-0020 · Fax 510-342-0023
Authorized official
Ashit Jain
Authorized Official
5107960222
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