Organization Name: | CALIFORNIA CARDIAC SURGEONS - A MEDICAL GROUP |
NPI Number: | 1033219423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT J. FITZGERALD (ADMINISTRATOR) |
Mailing Address: | 145 N Brent St Suite 102 Ventura |
State: | CA US |
Postal Code: | 930032816 |
Phone Number: | 8056432375 |
Fax Number: | 8056433511 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |