SOUTHERN CALIFORNIA VASCULAR GROUP INC NPI 1376905802

NPI Information

NPI: 1376905802
Provider Name: SOUTHERN CALIFORNIA VASCULAR GROUP, INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1530 CAMDEN AVE STE 403
LOS ANGELES, CA
ZIP 90025
Phone: (310) 914-9150
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SOUTHERN CALIFORNIA VASCULAR GROUP, INC 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. SOUTHERN CALIFORNIA VASCULAR GROUP, INC NPI is 1376905802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1530 CAMDEN AVE STE 403
LOS ANGELES, CA
ZIP 90025-010
Phone: (310) 914-9150

The provider's authorized official is Sammy Eghbalieh .
The authorized official title is Medical Doctor and has the following contact phone number (310) 914-9150.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.

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	A133688	CALIFORNIA	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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