Organization
MILTON VANA JR., M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON VANA JR. M.D. (PRESIDENT)
(949) 415-0677
Entity
Organization
Contact information
Practice address
31873 CIRCLE DR, LAGUNA BEACH, CA 92651-6860
(949) 415-0677
(949) 415-0676
Mailing address
31873 CIRCLE DR, LAGUNA BEACH, CA 92651-6860
(949) 415-0677
(949) 415-0676
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00G240290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G240290
—
CA
Enumeration date
12/04/2006
Last updated
03/04/2010
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