# PERIPHERAL VASCULAR ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1609133511
- **Authorized official:** DR. TODD S HARRIS M.D. (PRESIDENT)
- **Authorized official phone:** (949) 221-0136

## Contact information

- **Practice address:** 4501 BIRCH ST, NEWPORT BEACH, CA 92660-1990
- **Practice address phone:** (949) 922-2352
- **Practice address fax:** (949) 223-4702
- **Mailing address:** PO BOX 12139, NEWPORT BEACH, CA 92658-5053
- **Mailing address phone:** (949) 922-2352
- **Mailing address fax:** (949) 223-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A105121 | CA | Yes |

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 04/16/2012