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ENDOVASCULAR SURGICAL ASSOCIATES OF LOS ANGELES NPI 1023620572


NPI Information

NPI: 1023620572
Provider Name: ENDOVASCULAR SURGICAL ASSOCIATES OF LOS ANGELES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3680 E IMPERIAL HWY STE 502
LYNWOOD, CA
ZIP 90262
Phone: (562) 698-0271
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ENDOVASCULAR SURGICAL ASSOCIATES OF LOS ANGELES is a specialist in Lynwood, 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. ENDOVASCULAR SURGICAL ASSOCIATES OF LOS ANGELES NPI is 1023620572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3680 E IMPERIAL HWY STE 502
LYNWOOD, CA
ZIP 90262-661
Phone: (562) 698-0271
Fax: (562) 698-7467

The provider's authorized official is Christopher J Marrocco .
The authorized official title is Owner and has the following contact phone number (562) 698-0271.

The enumeration date for this NPI number is 8/17/2020 and was last updated on 8/17/2020.


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 SurgeryNo
2174400000XSpecialistYes

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: 4/28/2024

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