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VASCULAR ASSOCIATES OF SAN DIEGO NPI 1104975713


NPI Information

NPI: 1104975713
Provider Name: VASCULAR ASSOCIATES OF SAN DIEGO
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
8860 CENTER DR
450
LA MESA, CA
ZIP 91942
Phone: (619) 460-6200
Get Directions

VASCULAR ASSOCIATES OF SAN DIEGO is a vascular surgery surgery in La Mesa, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR ASSOCIATES OF SAN DIEGO NPI is 1104975713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8860 CENTER DR
450
LA MESA, CA
ZIP 91942-068
Phone: (619) 460-6200
Fax: (619) 460-6262

The provider's authorized official is Vincent Joseph Guzzetta .
The authorized official title is President Owner and has the following contact phone number (619) 460-6200.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryG29317CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W20440MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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