Organization
HUNTINGTON PARK VEIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (OWNER/PHYSICIAN)
(847) 305-3346
Entity
Organization
Contact information
Practice address
2822 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5749
(847) 305-3346
Mailing address
2822 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5749
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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