# REV VASCULAR INC

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

## Provider details

- **NPI number:** 1538301064
- **Authorized official:** DR. ROMEL EFRAIN VELASTEGUI MD (PRESIDENT)
- **Authorized official phone:** (916) 966-0320

## Contact information

- **Practice address:** 6620 COYLE AVE STE 102, CARMICHAEL, CA 95608-6336
- **Practice address phone:** (916) 966-0320
- **Practice address fax:** (916) 966-6598
- **Mailing address:** 6620 COYLE AVE STE 102, CARMICHAEL, CA 95608-6336
- **Mailing address phone:** (916) 966-0320
- **Mailing address fax:** (916) 966-6598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2009
- **Last updated:** 10/21/2024