Provider Demographics
NPI:1356089551
Name:WEST COAST CARDIOVASCULAR PC
Entity Type:Organization
Organization Name:WEST COAST CARDIOVASCULAR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOORAJ
Authorized Official - Middle Name:MALAY
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-241-9070
Mailing Address - Street 1:1640 NEWPORT BLVD STE 445
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7730
Mailing Address - Country:US
Mailing Address - Phone:714-241-9070
Mailing Address - Fax:949-695-2693
Practice Address - Street 1:1640 NEWPORT BLVD STE 445
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-7730
Practice Address - Country:US
Practice Address - Phone:714-241-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty