Provider Demographics
NPI:1972229821
Name:CARDIO-VASCULAR ASSOCIATES , INC.
Entity type:Organization
Organization Name:CARDIO-VASCULAR ASSOCIATES , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:FEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-632-1225
Mailing Address - Street 1:27053 REDRIVER DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-8888
Mailing Address - Country:US
Mailing Address - Phone:909-632-1225
Mailing Address - Fax:
Practice Address - Street 1:11760 CENTRAL AVE STE 204
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1909
Practice Address - Country:US
Practice Address - Phone:909-632-1225
Practice Address - Fax:909-632-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty