Organization
COASTAL VASCULAR SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLO BORZATTA M.D. (OWNER / PHYSICIAN)
(949) 218-7400
Entity
Organization
Contact information
Practice address
26726 CROWN VALLEY PKWY, STE 220, MISSION VIEJO, CA 92691-8002
(949) 218-7400
(949) 218-9700
Mailing address
26012 MARGUERITE PKWY, H400, MISSION VIEJO, CA 92692-3263
(949) 218-7400
(949) 218-9700
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A40479
CA
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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