Provider Demographics
NPI:1134147846
Name:CALIFORNIA HEART & VASCULAR INSTITUTE
Entity type:Organization
Organization Name:CALIFORNIA HEART & VASCULAR INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:310-370-4558
Mailing Address - Street 1:4201 TORRANCE BLVD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4504
Mailing Address - Country:US
Mailing Address - Phone:310-370-4558
Mailing Address - Fax:310-540-0733
Practice Address - Street 1:4201 TORRANCE BLVD
Practice Address - Street 2:SUITE 790
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4504
Practice Address - Country:US
Practice Address - Phone:310-370-4558
Practice Address - Fax:310-540-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69014207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15268Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID