Organization
VEIN DOCTOR MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY SHARIFI (CREDENTIALING MANAGER)
(714) 500-7714
Entity
Organization
Contact information
Practice address
1945 E 17TH ST STE 107, SANTA ANA, CA 92705-6862
(714) 500-7714
(714) 500-7713
Mailing address
1945 E 17TH ST STE 107, SANTA ANA, CA 92705-6862
(714) 500-7714
(714) 500-7713
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G35672
CA
Other
Enumeration date
05/12/2008
Last updated
10/22/2021
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