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VALLEY VASCULAR ASSOCIATES INC NPI 1033177902


NPI Information

NPI: 1033177902
Provider Name: VALLEY VASCULAR ASSOCIATES, INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
16917 ENADIA WAY
VAN NUYS, CA
ZIP 91406
Phone: (818) 401-1010
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VALLEY VASCULAR ASSOCIATES, INC is a vascular surgery surgery in Van Nuys, 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. VALLEY VASCULAR ASSOCIATES, INC NPI is 1033177902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16917 ENADIA WAY
VAN NUYS, CA
ZIP 91406-602
Phone: (818) 401-1010
Fax: (818) 401-1212

The provider's authorized official is Ihab Naim Aziz .
The authorized official title is President and has the following contact phone number (818) 401-1010.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 6/18/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA66104CALIFORNIANo
22086S0129XSurgeryVascular SurgeryA66104CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H94999MEDICARE UPINCALIFORNIA

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
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