# WEST REGIONAL CARDIOTHORACIC & VASCULAR SURGEONS W R VEIN CENTER

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

## Provider details

- **NPI number:** 1891028239
- **Authorized official:** HAROLD A TABAIE D.O. (PRESIDENT)
- **Authorized official phone:** (941) 720-0731

## Contact information

- **Practice address:** 4527 E CESAR CHAVEZ, LOS ANGELES, CA 90022-1116
- **Practice address phone:** (323) 262-9299
- **Mailing address:** 5850 CANOGA AVE STE 400, WOODLAND HILLS, CA 91367-6554
- **Mailing address phone:** (805) 910-7390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 07/28/2023