Organization
NORTH LA VASCULAR AND ENDOVASCULAR SURGERY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY FUNG MD (PRESIDENT)
(747) 265-6252
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD STE 607, TARZANA, CA 91356-2833
(747) 265-6252
Mailing address
PO BOX 260465, ENCINO, CA 91426-0465
(747) 265-6252
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
07/11/2022
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