Organization
USA VEIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON MD (OWNER)
(262) 877-8752
Entity
Organization
Contact information
Practice address
7901 SANTA MONICA BLVD, SUITE 209, WEST HOLLYWOOD, CA 90046-5177
(888) 768-3467
(262) 877-2632
Mailing address
PO BOX 832, NORTHBROOK, IL 60065-0832
(888) 768-3467
(262) 877-2632
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A106254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A106254
MEDICAL LICENSE
CA
Enumeration date
02/24/2009
Last updated
05/27/2011
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