Organization · Type 2 NPI
Shasta Regional Medical Group Inc
Vascular Surgery Physician · Redding, CA
NPI number
1861626129
Active
Practice location
1555 East St Ste 210
Redding, CA 96001-1153
Mailing address
16850 Bear Valley Rd
Victorville, CA 92395-5794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 26633 (CA) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 26633 (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.
4 other providers at this address
About NPI 1861626129
Shasta Regional Medical Group Inc's National Provider Identifier is 1861626129, issued on May 14, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Redding, CA. The record was last updated on May 14, 2009.