LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION NPI 1437182136

NPI Information

NPI: 1437182136
Provider Name: LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
15107 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 902-5786
Get Directions

LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION is a vascular surgery surgery in Van Nuys, 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. LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION NPI is 1437182136. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15107 VANOWEN ST
VAN NUYS, CA
ZIP 91405-542
Phone: (818) 902-5786
Fax: (818) 904-3708

The provider's authorized official is George Andros .
The authorized official title is President and has the following contact phone number (818) 902-5786.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 2/25/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	A74720	CALIFORNIA	No
2	2086S0129X	Surgery	Vascular Surgery	A19865	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W15514	MEDICARE UPIN	CALIFORNIA
2	W1211	MEDICARE PIN	CALIFORNIA
3	CC8660	OTHER	CALIFORNIA	RAILROAD 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: 5/5/2024

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