SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION is a specialist in Tarzana, 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. SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION NPI is 1518014463. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
18840 VENTURA BLVD STE 100A TARZANA, CA ZIP 91356-301 Phone: (818) 345-6126 Fax: (818) 345-5061
The provider's authorized official is Lydia Nassoura . The authorized official title is Director and has the following contact phone number (818) 345-6126.
The CLIA number assigned to this NPI record is 05D2244714 - other - obl with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/4/2007 and was last updated on 6/18/2024.
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:
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
NPI Synchronization or Removal
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