WEST REGIONAL CARDIOTHORACIC & VASCULAR SURGEONS W R VEIN CENTER NPI 1962800318

NPI Information

WEST REGIONAL CARDIOTHORACIC & VASCULAR SURGEONS W R VEIN CENTER is a vascular surgery surgery in Anaheim, 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. WEST REGIONAL CARDIOTHORACIC & VASCULAR SURGEONS W R VEIN CENTER NPI is 1962800318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5475 E LA PALMA AVE
SUITE 204
ANAHEIM, CA
ZIP 92807-075
Phone: (941) 720-0731

The provider's authorized official is Harold A Tabaie .
The authorized official title is President/owner and has the following contact phone number (941) 720-0731.

The CLIA number assigned to this NPI record is 05D2142166 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2014 and was last updated on 12/17/2014.

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:

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