Provider Demographics
NPI:1023042751
Name:CARDIAC ARRHYTHMIA ASSOCIATES, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:CARDIAC ARRHYTHMIA ASSOCIATES, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-658-0020
Mailing Address - Street 1:9850 GENESEE AVENUE
Mailing Address - Street 2:SUITE 940
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-658-0020
Mailing Address - Fax:858-658-0084
Practice Address - Street 1:9850 GENESEE AVENUE
Practice Address - Street 2:SUITE 940
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-658-0020
Practice Address - Fax:858-658-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0061630Medicaid
CAW13180Medicare PIN
CA2546926Medicaid
E71672Medicare UPIN
CAGR0061630Medicaid