| Cardiology Vascular & Endocrinology Center Professional Corporation | |
|
2220 Lynn Rd Thousand Oaks CA 91360-1904 | |
| (661) 395-3055 | |
| Not Available |
| Full Name | Cardiology Vascular & Endocrinology Center Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2220 Lynn Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Khazai Bahram (OWNER/PRESIDENT) |
| Authorized Official Contact | 6155576692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiology Vascular & Endocrinology Center Professional Corporation 2220 Lynn Rd Thousand Oaks CA 91360-1904 Ph: (661) 395-3055 | Cardiology Vascular & Endocrinology Center Professional Corporation 2220 Lynn Rd Thousand Oaks CA 91360-1904 Ph: (661) 395-3055 |
| NPI Number | 1578311015 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 9234676693 |
|---|---|
| Medicare Enrollment ID | O20240802000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578311015 | NPI | - | NPPES |
| Provider Name | Bahram Khazai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275789299 PECOS PAC ID: 5597937680 Enrollment ID: I20111014000173 |
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