Organization
PERIPHERAL VASCULAR ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD S HARRIS M.D. (PRESIDENT)
(949) 221-0136
Entity
Organization
Contact information
Practice address
4501 BIRCH ST, NEWPORT BEACH, CA 92660-1990
(949) 922-2352
(949) 223-4702
Mailing address
PO BOX 12139, NEWPORT BEACH, CA 92658-5053
(949) 922-2352
(949) 223-4702
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A105121
CA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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