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VILLA PATRIA INC NPI 1942326467


NPI Information

NPI: 1942326467
Provider Name: VILLA PATRIA INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
211 N VALLEY ST
SUITE 401
BURBANK, CA
ZIP 91505
Phone: (818) 409-8000
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VILLA PATRIA INC is a vascular surgery surgery in Burbank, 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. VILLA PATRIA INC NPI is 1942326467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

211 N VALLEY ST
SUITE 401
BURBANK, CA
ZIP 91505-951
Phone: (818) 409-8000

The provider's authorized official is Zbigniew Dworak .
The authorized official title is Ceo and has the following contact phone number (818) 823-8704.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/20/2015.


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 SurgeryA34168CALIFORNIAYes

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
1W21906MEDICARE PINCALIFORNIA

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: 11/14/2023

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