Organization
WEST COAST VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WILLIS (OFFICE MANAGER)
(805) 258-5420
Entity
Organization
Contact information
Practice address
100 N BRENT ST STE 201, VENTURA, CA 93003
(805) 643-3330
Mailing address
100 N BRENT ST STE 201, VENTURA, CA 93003-2835
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
CA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/15/2018
Last updated
06/18/2018
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