VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES NPI 1295706901

NPI Information

  • NPI: 1295706901
  • Provider Name: VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D2297600
  • Address: 3680 E IMPERIAL HWY
    SUITE 502
    LYNWOOD, CA
    ZIP 90262
  • Phone: (562) 698-0271

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NPI Details

VASCULAR & THORACIC 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. VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES NPI is 1295706901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3680 E IMPERIAL HWY
SUITE 502
LYNWOOD, CA
ZIP 90262-659
Phone: (562) 698-0271
Fax: (562) 698-7467

The provider's authorized official is Jose Spiwak .
The authorized official title is President and has the following contact phone number (562) 698-0271.

The CLIA number assigned to this NPI record is 05D2297600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/26/2015.

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
1174400000XSpecialistA32316CALIFORNIAYes

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
1ZZZ80580ZOTHERCALIFORNIAMEDICAID GROUP #
2W8687AMEDICARE PINCALIFORNIA
3CB224234OTHERCALIFORNIAMEDICARE ID
4W8687MEDICARE PINCALIFORNIA

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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