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Organization
THOUSAND OAKS VEIN CLINIC PC
Active
Organization
THOUSAND OAKS VEIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON M.D. (OWNER)
(847) 772-0089
Entity
Organization
Contact information
Practice address
225 N MOORPARK RD STE C, THOUSAND OAKS, CA 91360-4320
(847) 593-8460
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 593-8460
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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