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PEDES VASCULAR SAN FERNANDO VALLEY NPI 1669863981


NPI Information

NPI: 1669863981
Provider Name: PEDES VASCULAR SAN FERNANDO VALLEY
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
16260 VENTURA BOULEVARD
SUITE 210
ENCINO, CA
ZIP 91436
Phone: (949) 394-5018
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PEDES VASCULAR SAN FERNANDO VALLEY is a vascular and interventional radiology radiology in Encino, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PEDES VASCULAR SAN FERNANDO VALLEY NPI is 1669863981. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16260 VENTURA BOULEVARD
SUITE 210
ENCINO, CA
ZIP 91436-203
Phone: (949) 394-5018

The provider's authorized official is John Joseph Hewett .
The authorized official title is Owner and has the following contact phone number (424) 500-2557.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyC52896CALIFORNIAYes

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: 11/14/2023

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