Organization
SHEIKH A. LATIF DO A PROFESSIONAL CORPORATION
Active
Parent organization
SHEIKH A LATIF DO A PROFESSIONAL CORPORATION
Other names
DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEIKH A LATIF DO A PROFESSIONAL CORPORATION
Authorized official
MRS. LIEZL 'LIZ' BARDILAS-LATIF P.T. (CHIEF FINANCIAL OFFICER)
(559) 239-5449
Entity
Organization
Contact information
Practice address
1524 W. LACEY BLVD., SUITE 201, HANFORD, CA 93230
(877) 360-8346
(877) 360-8346
Mailing address
1524 W. LACEY BLVD., SUITE 201, HANFORD, CA 93230
(877) 360-8346
(877) 360-8346
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A9229
CA
2086S0129X
Vascular Surgery Physician
20A9229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX92291
—
CA
Enumeration date
04/16/2007
Last updated
08/10/2010
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