Organization
SOUTHERN CALIFORNIA VEIN & ARTERY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMMY EGHBALIEH MD (VASCULAR SURGEON)
(818) 900-6480
Entity
Organization
Contact information
Practice address
15031 RINALDI ST, MEDICAL STAFF ADMINISTRATION, MISSION HILLS, CA 91345-1207
(310) 991-7266
Mailing address
1530 CAMDEN AVE, SUITE 403, LOS ANGELES, CA 90025-8010
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A133688
CA
Other
Enumeration date
10/17/2016
Last updated
02/05/2019
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