Provider Demographics
NPI:1629742853
Name:HEART TO HEART CARDIOLOGY AND VASCULAR OF ORANGE COUNTY INC.
Entity Type:Organization
Organization Name:HEART TO HEART CARDIOLOGY AND VASCULAR OF ORANGE COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:V
Authorized Official - Last Name:DOUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-853-1218
Mailing Address - Street 1:9904 KAPALUA LN
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-5005
Mailing Address - Country:US
Mailing Address - Phone:714-220-8735
Mailing Address - Fax:
Practice Address - Street 1:301 W BASTANCHURY RD STE 240
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3430
Practice Address - Country:US
Practice Address - Phone:714-220-8735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty