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Organization
MISSION VASCULAR SPECIALISTS CORP
Active
Organization
MISSION VASCULAR SPECIALISTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURY GAMPEL (MANAGER)
(818) 880-8605
Entity
Organization
Contact information
Practice address
718 LEXINGTON AVE FL 1, SAN ANTONIO, TX 78212-4768
(210) 640-7909
(210) 907-7800
Mailing address
26500 AGOURA RD STE 201, CALABASAS, CA 91302-3556
(818) 880-8605
(818) 579-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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