Organization · Type 2 NPI

Comprehensive Vascular Specialty Group

Vascular Surgery Physician · Los Angeles, CA

NPI number 1174848550 Active

Practice location

8635 W 3rd St, Ste. 865W
Los Angeles, CA 90048-6101

Fax (310) 659-2937

Mailing address

PO Box 571596
Tarzana, CA 91357-1596

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

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 1174848550

Comprehensive Vascular Specialty Group's National Provider Identifier is 1174848550, issued on Mar 29, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 29, 2010.