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Organization

WESTERN VASCULAR A MEDICAL CORPORATION

Active
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Organization

WESTERN VASCULAR A MEDICAL CORPORATION

Active
Parent organization
WESTERN BARIATRIC, A MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN BARIATRIC, A MEDICAL CORPORATION
Authorized official
DOUGLAS KRAHN MD (OWNER/PROVIDER)
(909) 475-8611
Entity
Organization

Contact information

Practice address
401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404-3830
(909) 475-8611
Mailing address
PO BOX 9086, REDLANDS, CA 92375-2286
(833) 989-1009
(801) 931-2044

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—

Other

Enumeration date
06/22/2022
Last updated
07/28/2025
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