Provider Demographics
NPI:1427001965
Name:CARDIOVASCULAR MEDICINE AND CORONARY INTERVENTIONS, A MED. CORP.
Entity Type:Organization
Organization Name:CARDIOVASCULAR MEDICINE AND CORONARY INTERVENTIONS, A MED. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMOAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-306-2330
Mailing Address - Street 1:2900 WHIPPLE AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2843
Mailing Address - Country:US
Mailing Address - Phone:650-306-2300
Mailing Address - Fax:650-306-2336
Practice Address - Street 1:2900 WHIPPLE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2843
Practice Address - Country:US
Practice Address - Phone:650-306-2300
Practice Address - Fax:650-306-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0051060Medicaid
CAZZZ28471ZMedicare PIN
CAGR0051060Medicaid