COMPREHENSIVE VASCULAR SPECIALTY GROUP NPI 1174848550

NPI Information

NPI: 1174848550
Provider Name: COMPREHENSIVE VASCULAR SPECIALTY GROUP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
8635 W 3RD ST
STE. 865W
LOS ANGELES, CA
ZIP 90048
Phone: (310) 657-8237
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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 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
1	2086S0129X	Surgery	Vascular Surgery			Yes

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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