Organization
VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY L BASSO (OWNER)
(916) 235-9100
Entity
Organization
Contact information
Practice address
500 UNIVERSITY AVE STE 250, SACRAMENTO, CA 95825-6525
(916) 235-9100
(916) 680-9550
Mailing address
635 ANDERSON RD STE 4, DAVIS, CA 95616-3505
(530) 979-6226
(530) 758-1896
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/06/2018
Last updated
05/14/2024
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