Provider Demographics
NPI:1851301576
Name:POMONA VALLEY CARDIAC SURGERY
Entity Type:Organization
Organization Name:POMONA VALLEY CARDIAC SURGERY
Other - Org Name:POMONA VALLEY CARDIAC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:RUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-865-1161
Mailing Address - Street 1:160 E ARTESIA ST
Mailing Address - Street 2:SUITE 355
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2900
Mailing Address - Country:US
Mailing Address - Phone:909-865-1161
Mailing Address - Fax:909-865-1737
Practice Address - Street 1:160 E ARTESIA ST
Practice Address - Street 2:SUITE 355
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2900
Practice Address - Country:US
Practice Address - Phone:909-865-1161
Practice Address - Fax:909-865-1737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty