# WEST COAST VASCULAR

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

## Provider details

- **NPI number:** 1881197911
- **Authorized official:** KAREN WILLIS (OFFICE MANAGER)
- **Authorized official phone:** (805) 258-5420

## Contact information

- **Practice address:** 100 N BRENT ST STE 201, VENTURA, CA 93003
- **Practice address phone:** (805) 643-3330
- **Mailing address:** 100 N BRENT ST STE 201, VENTURA, CA 93003-2835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | CA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 06/18/2018