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California Vein Vascular And Diagnostics, Inc.
Medical Specialty Clinic/Center in La Verne, California
NPI 1710388103

California Vein Vascular And Diagnostics, Inc. is a Medical Specialty Clinic/Center based in La Verne, CA and is specialized in Medical Specialty. California Vein Vascular And Diagnostics, Inc. practices in La Verne, CA. The NPI Number for California Vein Vascular And Diagnostics, Inc. is 1710388103 and holds a License No. C56176 (California).

The current practice location address for California Vein Vascular And Diagnostics, Inc. is 2120 Foothill Blvd Ste 103, La Verne, CA and can be reached out via phone at 626-623-6040 and via fax at 909-366-5940.

Location: 2120 Foothill Blvd Ste 103, La Verne, CA, 91750-2941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710388103
Provider Name
California Vein Vascular And Diagnostics, Inc.
Credential
Provider Entity Type
Organization
Address
2120 Foothill Blvd Ste 103, La Verne, CA, 91750-2941
Phone Number
626-623-6040
Fax Number
909-366-5940
Provider Enumeration Date
09/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265730618 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2120 Foothill Blvd Ste 103
City
La Verne
State
California
Zip
91750-2948
Phone Number
626-623-6040
Fax Number
909-366-5940
person
Provider Business Mailing Address Details
Address
2120 Foothill Blvd Ste 103
City
La Verne
State
California
Zip
91750-2948
Phone Number
626-623-6040
Fax Number
909-366-5940
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
C56176 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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