Provider Demographics
NPI:1639367527
Name:METROPOLITAN HEART ASSOCIATES
Entity Type:Organization
Organization Name:METROPOLITAN HEART ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:GRIFKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-828-3001
Mailing Address - Street 1:2001 SANTA MONICA BLVD # 670W
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2102
Mailing Address - Country:US
Mailing Address - Phone:310-828-3001
Mailing Address - Fax:
Practice Address - Street 1:2001 SANTA MONICA BLVD # 670W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-828-3001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW10333Medicare PIN