ADVANCED HEART MONITORING


Address: 10757 Clarkson Rd., Second Floor, Los Angeles, CA 90064-2109
Phone: 3104746541

ADVANCED HEART MONITORING (NPI# 1124190145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124190145
Entity Type Organization
Organization Name ADVANCED HEART MONITORING
Practice Address 10757 Clarkson Rd.
Second Floor
Los Angeles
CA 90064-2109
Mailing Address 2355 Westwood Blvd.
321
Los Angeles
CA 90064-2109
Practice Telephone 3104746541
Practice Fax Number 3104709779
Mailing Telephone 3104746541
Mailing Fax Number 3104709779
Enumeration Date 2006-11-14
Last Update Date 2008-07-21
Authorized Official Name DANA KIANPOUR (OWNER)
Authorized Official Telephone 3104746541
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PROVIDER # TG611 01

Office Location

Street Address 10757 CLARKSON RD.
SECOND FLOOR
City LOS ANGELES
State CA
Zip Code 90064-2109

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City LOS ANGELES
Zip Code 90064

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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