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Organization

NORTHRIDGE VASCULAR CENTER A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINOD ASSOMULL MD (PRESIDENT)
(424) 241-7160
Entity
Organization

Contact information

Practice address
19331 BUSINESS CENTER DR STE 102, NORTHRIDGE, CA 91324-3533
(818) 709-5555
(818) 739-1465
Mailing address
10605 BALBOA BLVD, STE 240, GRANADA HILLS, CA 91344
(424) 241-7160

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
02/08/2018
Last updated
10/31/2019
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