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Organization
PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION
Active
Organization
PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION
Active
Other names
Pacific Interventional Vascular Access Center, Brown and Tabibian, A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER BROWN MD (AUTHORIZED OFFICIAL)
(310) 348-9604
Entity
Organization
Contact information
Practice address
6076 BRISTOL PKWY STE 108, CULVER CITY, CA 90230-6600
(310) 348-9604
Mailing address
40 VALLEY STREAM PKWY, SUITE 100, MALVERN, PA 19355-1407
(610) 644-8900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
05/24/2011
Last updated
11/26/2024
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