| Organization Name: | BIG BEAR LAKE MEDICAL GROUP INC |
| NPI Number: | 1174783989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL NORMAN (PHYSICIAN) |
| Mailing Address: | 41930 Garstin Dr Big Bear Lake |
| State: | CA US |
| Postal Code: | 92315 |
| Phone Number: | 9098666567 |
| Fax Number: | 9098667030 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 20A6319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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. |