# COMPREHENSIVE VASCULAR SPECIALTY GROUP

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

## Provider details

- **NPI number:** 1174848550
- **Authorized official:** MASSOUD H AGAHI MD (MD / PRESIDENT)
- **Authorized official phone:** (310) 657-8237

## Contact information

- **Practice address:** 8635 W 3RD ST, STE. 865W, LOS ANGELES, CA 90048-6101
- **Practice address phone:** (310) 657-8237
- **Practice address fax:** (310) 659-2937
- **Mailing address:** PO BOX 571596, TARZANA, CA 91357-1596
- **Mailing address phone:** (310) 657-8237
- **Mailing address fax:** (310) 659-2937

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 03/29/2010