DESERT VEIN & VASCULAR INSTITUTE PROFESSIONAL CORPORATION NPI 1821415142

NPI Information

DESERT VEIN & VASCULAR INSTITUTE PROFESSIONAL CORPORATION is a vascular surgery surgery in Rancho Mirage, 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. DESERT VEIN & VASCULAR INSTITUTE PROFESSIONAL CORPORATION NPI is 1821415142. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Empire Vein Specialists.

The provider's business location address is:

71780 SAN JACINTO DR
BLDG. I
RANCHO MIRAGE, CA
ZIP 92270-516
Phone: (760) 568-3461

The provider's authorized official is Sarah Rodriguez .
The authorized official title is Coo and has the following contact phone number (760) 568-3461.

The CLIA number assigned to this NPI record is 05D2135219 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 5/29/2020.

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:

Other Identifiers

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