# MERCY VASCULAR, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1306369798
- **Authorized official:** DR. JEFFREY SCOTT WEISS M.D. (OWNER)
- **Authorized official phone:** (619) 299-2600

## Contact information

- **Practice address:** 550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
- **Practice address phone:** (619) 299-2600
- **Practice address fax:** (619) 299-3923
- **Mailing address:** 550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
- **Mailing address phone:** (619) 299-2600
- **Mailing address fax:** (619) 299-3923

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 07/21/2022