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Organization
VASCULAR INTERVENTION SPECIALISTS INC
Active
Organization
VASCULAR INTERVENTION SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MORGAN DPM (PRESIDENT)
(310) 880-7442
Entity
Organization
Contact information
Practice address
19231 VICTORY BLVD STE 155, RESEDA, CA 91335
(818) 949-2630
(818) 561-3746
Mailing address
19231 VICTORY BLVD STE 155, RESEDA, CA 91335-6329
(818) 949-2630
(818) 561-3746
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213E00000X
Podiatrist
E1613
CA
213E00000X
Podiatrist
—
—
Other
Enumeration date
01/25/2017
Last updated
11/19/2020
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