Provider Demographics
NPI:1386265205
Name:VG CARDIAC ASSOCIATES, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:VG CARDIAC ASSOCIATES, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:NUBAR
Authorized Official - Last Name:GARIBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-260-1900
Mailing Address - Street 1:4060 4TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2121
Mailing Address - Country:US
Mailing Address - Phone:619-260-1900
Mailing Address - Fax:619-260-1919
Practice Address - Street 1:4060 4TH AVE STE 500
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2121
Practice Address - Country:US
Practice Address - Phone:619-260-1900
Practice Address - Fax:619-260-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty