Provider Demographics
NPI:1841820677
Name:SARSAM CARDIOLOGY A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SARSAM CARDIOLOGY A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SINAN
Authorized Official - Middle Name:HARITH N
Authorized Official - Last Name:SARSAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-445-9630
Mailing Address - Street 1:28544 CLEARVIEW ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-8606
Mailing Address - Country:US
Mailing Address - Phone:951-587-0070
Mailing Address - Fax:949-655-7878
Practice Address - Street 1:27450 YNEZ RD STE 109
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4649
Practice Address - Country:US
Practice Address - Phone:951-587-0070
Practice Address - Fax:949-655-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty