Organization
SOUTHERN CALIFORNIA VEIN & WOUND CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY QUACH (CREDENTIALING COORDINATOR)
(714) 799-5058
Entity
Organization
Contact information
Practice address
9191 WESTMINSTER AVE STE 211, GARDEN GROVE, CA 92844-2751
(714) 899-2000
(714) 899-0051
Mailing address
9191 WESTMINSTER AVE STE 205, GARDEN GROVE, CA 92844-2751
(714) 899-2000
(714) 899-0051
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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