# SOUTHERN CALIFORNIA VEIN & WOUND CARE CENTER INC.

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

## Provider details

- **NPI number:** 1487363321
- **Authorized official:** EMILY QUACH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (714) 799-5058

## Contact information

- **Practice address:** 9191 WESTMINSTER AVE STE 211, GARDEN GROVE, CA 92844-2751
- **Practice address phone:** (714) 899-2000
- **Practice address fax:** (714) 899-0051
- **Mailing address:** 9191 WESTMINSTER AVE STE 205, GARDEN GROVE, CA 92844-2751
- **Mailing address phone:** (714) 899-2000
- **Mailing address fax:** (714) 899-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 11/18/2022