DISCOVER VEIN AND VASCULAR CENTER PLLC NPI 1790056505

NPI Information

NPI: 1790056505
Provider Name: DISCOVER VEIN AND VASCULAR CENTER PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 03D2117617

Address:
1840 W CHANDLER BLVD STE D-2
CHANDLER, AZ
ZIP 85224
Phone: (480) 745-8577
Get Directions

DISCOVER VEIN AND VASCULAR CENTER PLLC is a vascular surgery surgery in Chandler, 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. DISCOVER VEIN AND VASCULAR CENTER PLLC NPI is 1790056505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1840 W CHANDLER BLVD STE D-2
CHANDLER, AZ
ZIP 85224-201
Phone: (480) 745-8577
Fax: (480) 745-8677

The provider's authorized official is Joseph D Vijungco .
The authorized official title is Owner/member and has the following contact phone number (480) 745-8577.

The CLIA number assigned to this NPI record is 03D2117617 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 9/11/2017.

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			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	676331	MEDICAID	ARIZONA
2	Z152434	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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