1083986848 NPI number — VALLEY HEART AND RHYTHM MEDICAL INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083986848 NPI number — VALLEY HEART AND RHYTHM MEDICAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY HEART AND RHYTHM MEDICAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083986848
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12612 CUMPSTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEY VILLAGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91607-1914
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-583-7223
Provider Business Mailing Address Fax Number:
818-904-5896

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18411 CLARK ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TARZANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91356-3524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-724-8000
Provider Business Practice Location Address Fax Number:
818-583-6506
Provider Enumeration Date:
02/08/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WAKSLAK
Authorized Official First Name:
MENACHEM
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
818-583-7223

Provider Taxonomy Codes

  • Taxonomy code: 207RC0001X , with the licence number:  A114088 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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