Organization · Type 2 NPI

Valley Village Vein Clinic PC

Vascular Surgery Physician · Valley Village, CA

NPI number 1811201643 Active

Practice location

12840 Riverside Dr, Ste 300
Valley Village, CA 91607-3327

Fax (888) 398-3230

Mailing address

PO Box 832
Northbrook, IL 60065-0832

Other practice locations

  • 18682 Beach Blvd Ste 155, Huntington Beach, CA 92648-2095 · (714) 462-2522

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
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.

23 other providers at this address

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About NPI 1811201643

Valley Village Vein Clinic PC's National Provider Identifier is 1811201643, issued on Aug 4, 2010. 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 Oct 27, 2026.