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Organization
GREATER LONG BEACH PERIPHERAL ARTERIAL DISEASE CENTER, A PROFESSIONAL
Active
Organization
GREATER LONG BEACH PERIPHERAL ARTERIAL DISEASE CENTER, A PROFESSIONAL
Active
Other names
Greater Long Beach Peripheral Arterial Disease Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND MEHTA MD (PRESIDENT)
(562) 867-5300
Entity
Organization
Contact information
Practice address
3 W HAWTHORN PKWY, SUITE 410, VERNON HILLS, IL 60061-1446
(847) 388-2001
(847) 388-2020
Mailing address
16506 LAKEWOOD BLVD, SUITE 200, BELLFLOWER, CA 90706-5164
(562) 867-5300
(562) 867-8666
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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