# TRI-COUNTY VASCULAR CARE, LLC

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

## Provider details

- **NPI number:** 1770951915
- **Authorized official:** BERNADETTE VINCENT (PRESIDENT/COO)
- **Authorized official phone:** (669) 266-6359

## Contact information

- **Practice address:** 393 BLOSSOM HILL RD STE 365, SAN JOSE, CA 95123-1659
- **Practice address phone:** (650) 400-3637
- **Practice address fax:** (650) 625-6007
- **Mailing address:** 393 BLOSSOM HILL RD STE 365, SAN JOSE, CA 95123-1659
- **Mailing address phone:** (408) 225-2005
- **Mailing address fax:** (408) 225-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 07/20/2022