Provider Demographics
NPI:1336569177
Name:WEST COAST CARDIOVASCULAR CONSULTANTS
Entity Type:Organization
Organization Name:WEST COAST CARDIOVASCULAR CONSULTANTS
Other - Org Name:MONEER J EDDIN MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONEER
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:EDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-681-5044
Mailing Address - Street 1:43860 10TH ST W
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4806
Mailing Address - Country:US
Mailing Address - Phone:661-726-3060
Mailing Address - Fax:
Practice Address - Street 1:43860 10TH ST W
Practice Address - Street 2:SUITE 203
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4806
Practice Address - Country:US
Practice Address - Phone:661-726-3060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-20
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106214207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty