Provider Demographics
NPI:1285228056
Name:LOS ANGELES CARDIOVASCULAR CARE
Entity Type:Organization
Organization Name:LOS ANGELES CARDIOVASCULAR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-448-0334
Mailing Address - Street 1:281 E COLORADO BLVD # 751
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1903
Mailing Address - Country:US
Mailing Address - Phone:323-448-0334
Mailing Address - Fax:
Practice Address - Street 1:1300 N VERMONT AVE STE 401
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6086
Practice Address - Country:US
Practice Address - Phone:323-448-0334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417117771OtherNPI