Organization
SOUTHERN CALIFORNIA VASCULAR GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY EGHBALIEH MD (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
1530 CAMDEN AVE STE 403, LOS ANGELES, CA 90025-8010
(310) 914-9150
Mailing address
1530 CAMDEN AVE STE 403, LOS ANGELES, CA 90025-8010
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A133688
CA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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