Organization · Type 2 NPI

USA Vascular Centers of Los Angeles, PC

Vascular Surgery Physician · Valley Village, CA

NPI number 1679951362 Active

Practice location

12840 Riverside Dr, Suite 300A
Valley Village, CA 91607-3327

Fax (224) 246-8042

Mailing address

304 Wainwright Dr Ste 130
Northbrook, IL 60062-1919

Other practice locations

  • 18682 Beach Blvd Ste 155A, Huntington Beach, CA 92648-2048 · (847) 593-8460

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone 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.

23 other providers at this address

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About NPI 1679951362

USA Vascular Centers of Los Angeles, PC's National Provider Identifier is 1679951362, issued on May 13, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Valley Village, CA. The record was last updated on Jul 17, 2025.