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Pediatric Cardiology Of San Diego

Pediatrics, Pediatric Cardiology in San Diego, CA. Organization (NPI-2).

NPI number1750891727
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1750891727
Entity type
Organization (NPI-2)
Legal business name
Pediatric Cardiology Of San Diego
Organization subpart
No
Enumeration date
Oct 4, 2017
Certification date
May 2, 2024
Last updated
May 2, 2024

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 codeDescriptionLicenseStatePrimary
2080P0202X Pediatrics, Pediatric Cardiology––Yes

Practice location

5755 Oberlin Dr Ste 202
San Diego, CA 92121-4716

Phone 619-501-4015 · Fax 619-501-2977

Mailing address

5755 Oberlin Dr Ste 202
San Diego, CA 92121-4716

Phone 619-501-4015 · Fax 619-501-2977

Authorized official

Delaram Pour Molkara
Ceo
6195014015

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Cardiology Physician providers in San Diego, CA

All 46 Pediatric Cardiology Physician providers in San Diego · All 61,118 providers in San Diego

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