| Cardiology Internal Medical Group Inc | |
|
1245 Wilshire Blvd Suite 903 Los Angeles CA 90017-4810 | |
| (213) 977-1144 | |
| (213) 482-2182 |
| Full Name | Cardiology Internal Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1245 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Stuart L Willson (PRESIDENT) |
| Authorized Official Contact | 2139771144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiology Internal Medical Group Inc 1245 Wilshire Blvd Suite 903 Los Angeles CA 90017-4809 Ph: (213) 977-1144 | Cardiology Internal Medical Group Inc 1245 Wilshire Blvd Suite 903 Los Angeles CA 90017-4810 Ph: (213) 977-1144 |
| NPI Number | 1962540617 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 2163486648 |
|---|---|
| Medicare Enrollment ID | O20041115000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962540617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stuart L Willson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262045 PECOS PAC ID: 9436230976 Enrollment ID: I20101115001122 |
| Provider Name | Joanna M Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699746958 PECOS PAC ID: 2163503608 Enrollment ID: I20101115001177 |
| Provider Name | Cindy Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356570063 PECOS PAC ID: 8820249543 Enrollment ID: I20121106000322 |
| Provider Name | Maria Isabel Linares Valderrama |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659739324 PECOS PAC ID: 7416286703 Enrollment ID: I20190911003828 |
| Provider Name | Susan Shey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275988123 PECOS PAC ID: 6002246097 Enrollment ID: I20200414003882 |
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