Organization
MARA VASCULAR SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSESS KHOSRAVI LLB, RVT (OWNER)
(323) 770-9607
Entity
Organization
Contact information
Practice address
1101 BAYSIDE DR STE 100, CORONA DEL MAR, CA 92625-1754
(747) 777-3188
(747) 777-4110
Mailing address
6720 VALLEY CIRCLE BLVD, WEST HILLS, CA 91307-2809
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
11/12/2025
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