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Organization
SAN FRAN VEIN LLC
Active
Organization
SAN FRAN VEIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA AZARBEHI DO (OWNER/PHYSICIAN)
(541) 324-9466
Entity
Organization
Contact information
Practice address
7788 DUBLIN BLVD, DUBLIN, CA 94568-2923
(925) 658-3491
(480) 378-8124
Mailing address
1641 E OSBORN RD STE 4, PHOENIX, AZ 85016-7146
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
NULL
202K00000X
Phlebology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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