Organization Name: | DELTA HEART & MEDICAL CLINIC, INC. |
NPI Number: | 1013030006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BUNMI OLOWOYEYE (ADMINISTRATOR) |
Mailing Address: | 1801 E March Ln A-170 Stockton |
State: | CA US |
Postal Code: | 952106629 |
Phone Number: | 2099519884 |
Fax Number: | 2099517873 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | A48005 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |