# SOUTH BAY VASCULAR SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003679168
- **Authorized official:** AMIR KAVIANI MD (PRESIDENT)
- **Authorized official phone:** (310) 373-6864

## Contact information

- **Practice address:** 23560 MADISON ST STE 110, TORRANCE, CA 90505-4709
- **Practice address phone:** (310) 373-6864
- **Practice address fax:** (424) 999-2194
- **Mailing address:** 23560 MADISON ST STE 110, TORRANCE, CA 90505-4709
- **Mailing address phone:** (310) 373-6864
- **Mailing address fax:** (310) 602-3894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 10/17/2025