MANA VASCULAR CLINIC PLLC NPI 1386121580

NPI Information

  • NPI: 1386121580
  • Provider Name: MANA VASCULAR CLINIC, PLLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 18555 N 79TH AVE STE B101
    GLENDALE, AZ
    ZIP 85308
  • Phone: (520) 979-7095

Map and Directions

Get Directions

NPI Details

MANA VASCULAR CLINIC, PLLC is a vascular surgery surgery in Glendale, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MANA VASCULAR CLINIC, PLLC NPI is 1386121580. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18555 N 79TH AVE STE B101
GLENDALE, AZ
ZIP 85308-372
Phone: (520) 979-7095
Fax: (623) 594-2252

The provider's authorized official is Lannery Sioeli Lauvao .
The authorized official title is Owner and has the following contact phone number (520) 979-7095.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 8/11/2024.

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
2261QM1300XClinic/CenterMulti-SpecialtyNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.