Provider Demographics
NPI:1134166580
Name:VENTRIMED INC
Entity type:Organization
Organization Name:VENTRIMED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKER
Authorized Official - Suffix:
Authorized Official - Credentials:CCT
Authorized Official - Phone:949-855-7955
Mailing Address - Street 1:53 RAVEN LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1886
Mailing Address - Country:US
Mailing Address - Phone:949-855-7955
Mailing Address - Fax:949-705-6518
Practice Address - Street 1:53 RAVEN LN
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-1886
Practice Address - Country:US
Practice Address - Phone:949-855-7955
Practice Address - Fax:949-705-6518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherFEDERAL TAX ID
CA=========OtherFEDERAL TAX ID