Provider Demographics
NPI:1376725333
Name:PACIFIC CARDIOVASCULAR ASSOCIATES, INC
Entity Type:Organization
Organization Name:PACIFIC CARDIOVASCULAR ASSOCIATES, INC
Other - Org Name:PACIFIC CARDIOVASCULAR CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BIKRAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-306-0304
Mailing Address - Street 1:2663 ELDEROAK LN
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5347
Mailing Address - Country:US
Mailing Address - Phone:805-306-0304
Mailing Address - Fax:805-306-0102
Practice Address - Street 1:124 MACAW LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3152
Practice Address - Country:US
Practice Address - Phone:805-306-0304
Practice Address - Fax:805-306-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-02
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty