Organization
BEACH CITIES VEIN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D RAYMAN M.D. (PRESIDENT)
(310) 986-6500
Entity
Organization
Contact information
Practice address
390 N SEPULVEDA BLVD, SUITE 1030, EL SEGUNDO, CA 90245-4475
(323) 394-2938
(866) 335-0887
Mailing address
390 N SEPULVEDA BLVD, SUITE 1030, EL SEGUNDO, CA 90245-4475
(310) 986-6500
(310) 986-6506
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G64513
CA
Other
Enumeration date
05/13/2013
Last updated
03/05/2014
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