LOS ANGELES PERIPHERAL ARTERIAL DISEASE CENTER MEDICAL GROUP NPI 1952675571

NPI Information

LOS ANGELES PERIPHERAL ARTERIAL DISEASE CENTER MEDICAL GROUP is a vascular surgery surgery in Inglewood, 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 PERIPHERAL ARTERIAL DISEASE CENTER MEDICAL GROUP NPI is 1952675571. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 N PRAIRIE AVE
SUITE 114
INGLEWOOD, CA
ZIP 90301-502
Phone: (310) 674-9300
Fax: (310) 674-9301

The provider's authorized official is Jack E Rubin .
The authorized official title is President and has the following contact phone number (310) 674-9300.

The enumeration date for this NPI number is 2/29/2012 and was last updated on 2/29/2012.

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:

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