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CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE NPI 1780704353


NPI Information

NPI: 1780704353
Provider Name: CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3838 CALIFORNIA ST
SUITE 612
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 221-7056
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CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE is a vascular surgery surgery in San Francisco, 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. CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE NPI is 1780704353. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3838 CALIFORNIA ST
SUITE 612
SAN FRANCISCO, CA
ZIP 94118-522
Phone: (415) 221-7056
Fax: (415) 221-7058

The provider's authorized official is John B Long .
The authorized official title is Physician and has the following contact phone number (415) 221-7056.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/6/2015.


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
12086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ42476ZMEDICARE PINCALIFORNIA
2ZZZ42476ZOTHERCALIFORNIABCBS

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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