# CHINO VASCULAR & SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1023651445
- **Authorized official:** DR. ANIL SHAH MD (PRESIDENT)
- **Authorized official phone:** (714) 754-1684

## Contact information

- **Practice address:** 11760 CENTRAL AVE STE 204, CHINO, CA 91710-1909
- **Practice address phone:** (714) 754-1684
- **Practice address fax:** (714) 966-0417
- **Mailing address:** 2621 S BRISTOL ST STE 108, SANTA ANA, CA 92704-5718
- **Mailing address phone:** (714) 754-1684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 01/15/2020