Valley Village Vein Clinic Pc

NPI 1811201643 - Internal Medicine - 207R00000X

NPI Details
NPI 1811201643
Enumeration Date 08/04/2010
Last Updated 09/13/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FLORA FLORA
Position OWNER
Phone (847) 593-8616
Fax (888) 398-3230
Practice Location
12840 RIVERSIDE DR
STE 300
VALLEY VILLAGE CA, 91607-3327, US
Phone (847) 593-8616
Fax (888) 398-3230
Business Location
PO BOX 832
NORTHBROOK IL, 60065-0832, US
Phone (262) 877-8752
Fax (888) 398-3230
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Valley Village Vein Clinic Pc NPI is 1811201643, taxonomy code is 207R00000X Valley Village Vein Clinic Pc physically located at 12840 Riverside Dr, Valley Village CA, 91607-3327. NPI Number 1033115704 has the healthcare provider type.

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1811201643 NPI number is provided on an as is basis without warranty of any kind. 1811201643 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Village Vein Clinic Pc are for informational purposes only.