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Organization
CAL MED VASCULAR ASC LLC
Active
Organization
CAL MED VASCULAR ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEV A GNANADEV MD (OWNER)
(909) 580-3353
Entity
Organization
Contact information
Practice address
1281 W C ST STE 350, COLTON, CA 92324-1916
(909) 679-2754
(909) 423-0138
Mailing address
1281 W C ST STE 350, COLTON, CA 92324-1916
(909) 679-2754
(909) 423-0138
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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