Organization
TOTAL VASCULAR SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG J LIM D.O. (OWNER AND SURGEON)
(916) 784-1836
Entity
Organization
Contact information
Practice address
5 MEDICAL PLAZA DRIVE, SUITE 200, ROSEVILLE, CA 95661-2867
(916) 784-1836
(916) 784-1880
Mailing address
5 MEDICAL PLAZA DRIVE, SUITE 200, ROSEVILLE, CA 95661-2867
(916) 784-1836
(916) 784-1880
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
20A8767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87670
—
CA
Enumeration date
10/21/2006
Last updated
09/17/2008
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