Organization
LEG AND VEIN INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIF SIDDIQI M.D. (MEDICAL DIRECTOR)
(949) 679-5347
Entity
Organization
Contact information
Practice address
1601 DOVE ST, SUITE 210, NEWPORT BEACH, CA 92660-2433
(949) 679-5347
(866) 335-0887
Mailing address
1601 DOVE ST, SUITE 210, NEWPORT BEACH, CA 92660-2433
(949) 679-5347
(866) 335-0887
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A78843
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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