# PREMIER VASCULAR AND VEIN SURGERY CENTER

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

## Provider details

- **NPI number:** 1275350167
- **Authorized official:** REZA NAZARI MD (OWNER)
- **Authorized official phone:** (209) 226-1770

## Contact information

- **Practice address:** 1512 COLORADO AVE, TURLOCK, CA 95380-2711
- **Practice address phone:** (209) 668-8030
- **Mailing address:** 1512 COLORADO AVE, TURLOCK, CA 95380-2711
- **Mailing address phone:** (209) 226-1770
- **Mailing address fax:** (209) 226-1771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 08/27/2026