Provider Demographics
NPI:1730634205
Name:ADVANCED HEART INSTITUTE
Entity type:Organization
Organization Name:ADVANCED HEART INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:YADVINDER
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-333-4278
Mailing Address - Street 1:2601 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3348
Mailing Address - Country:US
Mailing Address - Phone:661-633-2541
Mailing Address - Fax:661-633-9042
Practice Address - Street 1:2601 16TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3348
Practice Address - Country:US
Practice Address - Phone:661-633-2541
Practice Address - Fax:661-633-9042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50042174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid