# USA VEIN CLINIC INC

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

## Provider details

- **NPI number:** 1720228273
- **Authorized official:** FLORA KATSNELSON MD (OWNER)
- **Authorized official phone:** (262) 877-8752

## Contact information

- **Practice address:** 7901 SANTA MONICA BLVD, SUITE 209, WEST HOLLYWOOD, CA 90046-5177
- **Practice address phone:** (888) 768-3467
- **Practice address fax:** (262) 877-2632
- **Mailing address:** PO BOX 832, NORTHBROOK, IL 60065-0832
- **Mailing address phone:** (888) 768-3467
- **Mailing address fax:** (262) 877-2632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A106254 | CA | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 05/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A106254 | MEDICAL LICENSE | CA |