Organization · Type 2 NPI
Mara Vascular Surgery Center Inc.
Ambulatory Surgical Clinic/Center · Corona Del Mar, CA
NPI number
1720956501
Active
Practice location
1101 Bayside Dr Ste 100
Corona Del Mar, CA 92625-1754
Fax (747) 777-4110
Mailing address
6720 Valley Circle Blvd
West Hills, CA 91307-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1720956501
Mara Vascular Surgery Center Inc.'s National Provider Identifier is 1720956501, issued on Oct 24, 2025. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Corona Del Mar, CA. The record was last updated on Nov 12, 2025.