Organization
SOUTHERN CALIFORNIA VEIN AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR Z TAHIR (CEO)
(760) 515-6260
Entity
Organization
Contact information
Practice address
6780 INDIANA AVE STE 110, RIVERSIDE, CA 92506-4284
(951) 213-9269
(951) 213-6483
Mailing address
18092 WIKA RD STE 220, APPLE VALLEY, CA 92307-2132
(760) 515-6260
(949) 863-8505
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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