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Organization
VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES
Active
Organization
VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE SPIWAK M.D. (PRESIDENT)
(562) 698-0271
Entity
Organization
Contact information
Practice address
3680 E IMPERIAL HWY, SUITE 502, LYNWOOD, CA 90262-2659
(562) 698-0271
(562) 698-7467
Mailing address
3680 E IMPERIAL HWY, SUITE 502, LYNWOOD, CA 90262-2659
(562) 698-0271
(562) 698-7467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A32316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB224234
MEDICARE ID
CA
01
—
ZZZ80580Z
MEDICAID GROUP #
CA
Enumeration date
01/30/2006
Last updated
01/26/2015
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