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NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP NPI 1346990892


NPI Information

NPI: 1346990892
Provider Name: NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
18370 BURBANK BLVD STE 607
TARZANA, CA
ZIP 91356
Phone: (747) 265-6252
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NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP is a vascular surgery surgery in Tarzana, 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. NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP NPI is 1346990892. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18370 BURBANK BLVD STE 607
TARZANA, CA
ZIP 91356-833
Phone: (747) 265-6252

The provider's authorized official is Wesley Fung .
The authorized official title is President and has the following contact phone number (747) 265-6252.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 7/11/2022.


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 SurgeryYes

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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