Organization
WEST COAST VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MENDEZ (PRACTICE MANAGER)
(805) 604-4443
Entity
Organization
Contact information
Practice address
100 N BRENT ST STE 201, VENTURA, CA 93003-2835
(805) 643-3330
(805) 643-3331
Mailing address
100 N BRENT ST STE 201, VENTURA, CA 93003-2835
(805) 643-3330
(805) 643-3331
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
A79501
CA
2086S0129X
Vascular Surgery Physician
Primary
A99886
CA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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