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MID VALLEY VASCULAR CENTER INC NPI 1790187169


NPI Information

NPI: 1790187169
Provider Name: MID VALLEY VASCULAR CENTER, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7640 TAMPA AVE
SUITE 101A
RESEDA, CA
ZIP 91335
Phone: (818) 718-1600
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MID VALLEY VASCULAR CENTER, INC is a multi-specialty clinic center in Reseda, CA. MID VALLEY VASCULAR CENTER, INC NPI is 1790187169. The provider is registered as an organization entity type.

The provider's business location address is:

7640 TAMPA AVE
SUITE 101A
RESEDA, CA
ZIP 91335-735
Phone: (818) 718-1600
Fax: (818) 343-1612

The provider's authorized official is Leo Polosajian .
The authorized official title is President/ceo and has the following contact phone number (818) 454-3638.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 11/5/2014.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.