NPI 1003148073

South Bay Cardiovascular Medical Group, INC

Organisation Specialist San Jose, CA

Practice location

Address: 105 N Bascom Ave Suite 204, San Jose, CA 95128-1811
Phone: (408) 918-0400
Fax: (408) 286-2922

Authorised official

Name: Mohammad Shenasa
Title: Owner
Phone: (408) 918-0400

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A50310 (CA)

Other Specialist providers in California →

Cardiovascular Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Other Internal Medicine providers in California →

Registry record

NPI: 1003148073
Entity type: Organization
NPI issued: 2 Feb 2010
Record last updated: 30 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.