# SOUTHERN CALIFORNIA VEIN & ARTERY SPECIALISTS INC

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

## Provider details

- **NPI number:** 1033660881
- **Authorized official:** DR. SAMMY EGHBALIEH MD (VASCULAR SURGEON)
- **Authorized official phone:** (818) 900-6480

## Contact information

- **Practice address:** 15031 RINALDI ST, MEDICAL STAFF ADMINISTRATION, MISSION HILLS, CA 91345-1207
- **Practice address phone:** (310) 991-7266
- **Mailing address:** 1530 CAMDEN AVE, SUITE 403, LOS ANGELES, CA 90025-8010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A133688 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 02/05/2019