Organization · Type 2 NPI

Peripheral Vascular Associates, Inc.

Vascular Surgery Physician · Newport Beach, CA

NPI number 1609133511 Active

Practice location

4501 Birch St
Newport Beach, CA 92660-1990

Call (949) 922-2352 Map

Fax (949) 223-4702

Mailing address

PO Box 12139
Newport Beach, CA 92658-5053

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XA105121 (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 1609133511

Peripheral Vascular Associates, Inc.'s National Provider Identifier is 1609133511, issued on Apr 16, 2012. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Newport Beach, CA. The record was last updated on Apr 16, 2012.