# ORANGE COUNTY VASCULAR & ENDOVASCULAR SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1285893107
- **Authorized official:** DR. SON THANH DUONG M.D. (PRESIDENT)
- **Authorized official phone:** (714) 430-1414

## Contact information

- **Practice address:** 11190 WARNER AVE STE 408, FOUNTAIN VALLEY, CA 92708-4047
- **Practice address phone:** (714) 430-1414
- **Practice address fax:** (714) 430-1486
- **Mailing address:** 11190 WARNER AVE STE 408, FOUNTAIN VALLEY, CA 92708-4047
- **Mailing address phone:** (714) 430-1414
- **Mailing address fax:** (714) 430-1486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A73996 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 04/03/2020