Provider Demographics
NPI:1477636819
Name:OJAI HEART INSTITUTE MEDICAL CORPORATION
Entity Type:Organization
Organization Name:OJAI HEART INSTITUTE MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-485-3800
Mailing Address - Street 1:PO BOX 1798
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93024-1798
Mailing Address - Country:US
Mailing Address - Phone:805-485-3800
Mailing Address - Fax:805-485-3839
Practice Address - Street 1:204 PIRIE RD
Practice Address - Street 2:SUITE A
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3135
Practice Address - Country:US
Practice Address - Phone:805-485-3800
Practice Address - Fax:805-485-3839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63931174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A639311Medicaid
CAW15786Medicare ID - Type UnspecifiedGRP ID FOR OJAI LOCATION
CA00A639311Medicaid