NPI 1386753515

Icardio Corporation a Medical Corporation

Organisation Sonography Specialist/Technologist Cardiovascular Los Angeles, CA

Practice location

Address: 1531 Glenville Drive, Los Angeles, CA 90035
Phone: (310) 551-2750
Fax: (310) 861-5620

Authorised official

Name: Joshua Penn
Title: President
Phone: (310) 551-2750

Registered specialties

Sonography Specialist/Technologist Cardiovascular Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246XS1301X Licence G76919 (CA)

Other Specialist/Technologist Cardiovascular providers in California →

Registry record

NPI: 1386753515
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 29 Jul 2009

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.