# SOUTHERN CALIFORNIA VEIN AND AESTHETICS LLC

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

## Provider details

- **NPI number:** 1720935505
- **Authorized official:** OMAR Z TAHIR (CEO)
- **Authorized official phone:** (760) 515-6260

## Contact information

- **Practice address:** 6780 INDIANA AVE STE 110, RIVERSIDE, CA 92506-4284
- **Practice address phone:** (951) 213-9269
- **Practice address fax:** (951) 213-6483
- **Mailing address:** 18092 WIKA RD STE 220, APPLE VALLEY, CA 92307-2132
- **Mailing address phone:** (760) 515-6260
- **Mailing address fax:** (949) 863-8505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2026
- **Last updated:** 03/11/2026