COMPREHENSIVE VASCULAR SPECIALTY GROUP NPI 1174848550

NPI Information

  • NPI: 1174848550
  • Provider Name: COMPREHENSIVE VASCULAR SPECIALTY GROUP
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 05D0546491
  • Address: 8635 W 3RD ST
    STE. 865W
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (310) 657-8237

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NPI Details

COMPREHENSIVE VASCULAR SPECIALTY GROUP is a vascular surgery surgery in Los Angeles, 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. COMPREHENSIVE VASCULAR SPECIALTY GROUP NPI is 1174848550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8635 W 3RD ST
STE. 865W
LOS ANGELES, CA
ZIP 90048-101
Phone: (310) 657-8237
Fax: (310) 659-2937

The provider's authorized official is Massoud H Agahi .
The authorized official title is Md / President and has the following contact phone number (310) 657-8237.

The CLIA number assigned to this NPI record is 05D0546491 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 3/29/2010.

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
12086S0129XSurgeryVascular SurgeryYes

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: 3/30/2025

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