Organization
VEIN SPECIALTY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL FATTAHI M.D. (PRESIDENT)
(408) 378-3467
Entity
Organization
Contact information
Practice address
2951 WINCHESTER BLVD, SUITE 100, CAMPBELL, CA 95008-5319
(408) 378-3467
(408) 378-2131
Mailing address
2951 WINCHESTER BLVD, SUITE 100, CAMPBELL, CA 95008-5319
(408) 378-3467
(408) 378-2131
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A43193
CA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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