Organization · Type 2 NPI
Tri Star Orthopaedics
Vascular Surgery Physician · Lakewood, CA
NPI number
1134563638
Active
Practice location
5220 Clark Ave, 100
Lakewood, CA 90712-2618
Fax (562) 866-6818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | G85430 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1134563638
Tri Star Orthopaedics's National Provider Identifier is 1134563638, issued on Apr 26, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lakewood, CA. The record was last updated on Apr 26, 2013.