# THOUSAND OAKS VEIN CLINIC PC

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

## Provider details

- **NPI number:** 1437638517
- **Authorized official:** FLORA KATSNELSON M.D. (OWNER)
- **Authorized official phone:** (847) 772-0089

## Contact information

- **Practice address:** 225 N MOORPARK RD STE C, THOUSAND OAKS, CA 91360-4320
- **Practice address phone:** (847) 593-8460
- **Mailing address:** 304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
- **Mailing address phone:** (847) 593-8460

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 08/09/2018