Provider Demographics
NPI:1831315605
Name:RICHARD CASO, M.D., INC.
Entity Type:Organization
Organization Name:RICHARD CASO, M.D., INC.
Other - Org Name:ORANGE COUNTY HEART CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CASO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-362-1212
Mailing Address - Street 1:24541 PACIFIC PARK DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3065
Mailing Address - Country:US
Mailing Address - Phone:949-362-1212
Mailing Address - Fax:949-362-4755
Practice Address - Street 1:24541 PACIFIC PARK DR
Practice Address - Street 2:SUITE 109
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3065
Practice Address - Country:US
Practice Address - Phone:949-362-1212
Practice Address - Fax:949-362-4755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG30460207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44433Medicare UPIN
CAW13094Medicare ID - Type Unspecified