# WESTERN VASCULAR A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN BARIATRIC, A MEDICAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497486245
- **Legal business name:** WESTERN BARIATRIC, A MEDICAL CORPORATION
- **Authorized official:** DOUGLAS KRAHN MD (OWNER/PROVIDER)
- **Authorized official phone:** (909) 475-8611

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2022
- **Last updated:** 07/28/2025