# SAN FRAN VEIN LLC

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

## Provider details

- **NPI number:** 1811628787
- **Authorized official:** DR. NIMA AZARBEHI DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (541) 324-9466

## Contact information

- **Practice address:** 7788 DUBLIN BLVD, DUBLIN, CA 94568-2923
- **Practice address phone:** (925) 658-3491
- **Practice address fax:** (480) 378-8124
- **Mailing address:** 1641 E OSBORN RD STE 4, PHOENIX, AZ 85016-7146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |
| 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
