# CAL MED VASCULAR ASC LLC

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

## Provider details

- **NPI number:** 1326789009
- **Authorized official:** DEV A GNANADEV MD (OWNER)
- **Authorized official phone:** (909) 580-3353

## Contact information

- **Practice address:** 1281 W C ST STE 350, COLTON, CA 92324-1916
- **Practice address phone:** (909) 679-2754
- **Practice address fax:** (909) 423-0138
- **Mailing address:** 1281 W C ST STE 350, COLTON, CA 92324-1916
- **Mailing address phone:** (909) 679-2754
- **Mailing address fax:** (909) 423-0138

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 04/05/2022