# LA VASCULAR AND ENDOVASCULAR SURGERY, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1912008582
- **Authorized official:** SASAN NAJIBI MD (PRESIDENT)
- **Authorized official phone:** (818) 842-4400

## Contact information

- **Practice address:** 2950 W BURBANK BLVD, STE. 208, BURBANK, CA 91505-2309
- **Practice address phone:** (818) 842-4400
- **Practice address fax:** (818) 842-4401
- **Mailing address:** PO BOX 16335, ENCINO, CA 91416-6335
- **Mailing address phone:** (818) 842-4400
- **Mailing address fax:** (818) 842-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A64485 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A644850 | — | CA |