Organization
PEDES VASCULAR SAN FERNANDO VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH HEWETT M.D (OWNER)
(424) 500-2557
Entity
Organization
Contact information
Practice address
16260 VENTURA BOULEVARD, SUITE 210, ENCINO, CA 91436-2203
(949) 394-5018
Mailing address
16260 VENTURA BOULEVARD, SUITE 210, ENCINO, CA 91436-2203
(949) 394-5018
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C52896
CA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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