# TOTAL VASCULAR SURGERY INC

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

## Provider details

- **NPI number:** 1851474217
- **Authorized official:** JUNG J LIM D.O. (OWNER AND SURGEON)
- **Authorized official phone:** (916) 784-1836

## Contact information

- **Practice address:** 5 MEDICAL PLAZA DRIVE, SUITE 200, ROSEVILLE, CA 95661-2867
- **Practice address phone:** (916) 784-1836
- **Practice address fax:** (916) 784-1880
- **Mailing address:** 5 MEDICAL PLAZA DRIVE, SUITE 200, ROSEVILLE, CA 95661-2867
- **Mailing address phone:** (916) 784-1836
- **Mailing address fax:** (916) 784-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 20A8767 | CA | Yes |

## Other

- **Enumeration date:** 10/21/2006
- **Last updated:** 09/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX87670 | — | CA |