MIRKO A GIACONI MD INC – NPI #1750398491
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MIRKO A GIACONI MD INC is a provider located in SAN PEDRO, CA. NPPES has assigned the NPI number 1750398491 to MIRKO A GIACONI MD INC on August 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Feb 28, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRKO A GIACONI MD INC below.

NPI Profile for
MIRKO A GIACONI MD INC

NPI Number
1750398491
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRKO A GIACONI MD INC
Primary location
1360 WEST 6TH ST
STE 205
SAN PEDRO, CA 90732
Phone: (310) 832-7541 Fax: (310) 832-3585
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIRKO GIACONI
PRESIDENT
Phone: (310) 832-7541
Updated
Identifiers

Identifiers for MIRKO A GIACONI MD INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A25678
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
CA A25678

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.