Organization
GLENDALE VEIN CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON MD (MANAGER)
(847) 305-8460
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR, GLENDALE, CA 91205-4431
(323) 798-1800
Mailing address
PO BOX 832, NORTHBROOK, IL 60065-0832
(847) 593-8460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A106254
CA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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