# MISSION VASCULAR SPECIALISTS CORP

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

## Provider details

- **NPI number:** 1588290340
- **Authorized official:** YURY GAMPEL (MANAGER)
- **Authorized official phone:** (818) 880-8605

## Contact information

- **Practice address:** 718 LEXINGTON AVE FL 1, SAN ANTONIO, TX 78212-4768
- **Practice address phone:** (210) 640-7909
- **Practice address fax:** (210) 907-7800
- **Mailing address:** 26500 AGOURA RD STE 201, CALABASAS, CA 91302-3556
- **Mailing address phone:** (818) 880-8605
- **Mailing address fax:** (818) 579-7916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 03/12/2020