Provider Demographics
NPI:1952754673
Name:ARRHYTHMIA CENTER OF NORTHERN CALIFORNIA, INC.
Entity Type:Organization
Organization Name:ARRHYTHMIA CENTER OF NORTHERN CALIFORNIA, INC.
Other - Org Name:ARRHYTHMIA CENTER OF NORTHERN CALIFORNIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER/SECURITY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-893-8806
Mailing Address - Street 1:1645 ESPLANADE
Mailing Address - Street 2:STE 3
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3367
Mailing Address - Country:US
Mailing Address - Phone:530-893-8806
Mailing Address - Fax:530-893-8846
Practice Address - Street 1:1645 ESPLANADE STE 3
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3367
Practice Address - Country:US
Practice Address - Phone:530-893-8806
Practice Address - Fax:530-893-8846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60788207RC0001X
207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty