SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION is a specialist in Tarzana, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION NPI is 1518014463. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
18840 VENTURA BLVD STE 100A
TARZANA, CA
ZIP 91356-301
Phone: (818) 345-6126
Fax: (818) 345-5061
The provider's authorized official is Fuad F Rafidi .
The authorized official title is Co-president and has the following contact phone number (818) 345-6126.
The CLIA number assigned to this NPI record is 05D2244714 - other - obl with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/28/2022.