Organization
VASCULAR ACCESS CENTER OF SOUTH LOS ANGELES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCGUCKIN (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
11411 BROOKSHIRE AVE, SUITE 301, DOWNEY, CA 90241-5026
(562) 862-4027
Mailing address
2929 ARCH STREET, SUITE 1705, PHILADELPHIA, PA 19104-2866
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
11/13/2014
Last updated
01/08/2015
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