Organization · NPI-2

Advanced Cardiovascular Specialists Of Central California

Internal Medicine, Cardiovascular Disease · Clovis, CA

NPI number1700610235

StatusActive

Last updated in NPPESAug 28, 2024

Details

NPI: 1700610235
Entity type: Organization (NPI-2)
Legal business name: Advanced Cardiovascular Specialists Of Central California
Organization subpart: No
Enumeration date: Aug 28, 2024
Certification date: Aug 26, 2024
Last updated: Aug 28, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–	Yes
207RA0001X	Internal Medicine, Advanced Heart Failure and Transplant Cardiology	–	–
207RC0001X	Internal Medicine, Clinical Cardiac Electrophysiology	–	–
207RH0005X	Internal Medicine, Hypertension Specialist	–	–
207RI0011X	Internal Medicine, Interventional Cardiology	–	–
207RM1200X	Internal Medicine, Magnetic Resonance Imaging (MRI)	–	–
207UN0901X	Nuclear Medicine, Nuclear Cardiology	–	–

Practice location

729 N Medical Center Dr W Ste 221
Clovis, CA 93611-6885

Phone 559-571-1524 · Fax 559-853-6659

Mailing address

11809 N Turf Dr
Fresno, CA 93730-7084

Authorized official

Siri Kunchakarra
Secretary
4083065108

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