# SAN DIEGO VEIN INSTITUTE, A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1134500531
- **Authorized official:** VAN L CHENG MD (CEO AND PRES)
- **Authorized official phone:** (760) 944-9263

## Contact information

- **Practice address:** 336 ENCINITAS BLVD, SUITE 130, ENCINITAS, CA 92024-8707
- **Practice address phone:** (760) 944-9263
- **Mailing address:** 336 ENCINITAS BLVD, SUITE 130, ENCINITAS, CA 92024-8707
- **Mailing address phone:** (760) 944-9263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A86156 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 08/07/2015