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Organization
NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP
Active
Organization
NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY FUNG MD (PRESIDENT)
(747) 265-6252
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD STE 607, TARZANA, CA 91356-2833
(747) 265-6252
Mailing address
PO BOX 260465, ENCINO, CA 91426-0465
(747) 265-6252
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
07/11/2022
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