California Institute For Cardiovascular And Laser Vein Surg
LBN: California Institute For Cardiovascular And Laser Vein Surg
California Institute For Cardiovascular And Laser Vein Surg is an health care organization with primary practice located at 16030 Ventura Blvd Ste 605 , Encino CA 91436-4471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
California Institute For Cardiovascular And Laser Vein Surg can be contacted via phone (818) 422-5322, or through Ebrahimi, Sam via phone (818) 422-5322.
Contact Information
Primary practice address
16030 Ventura Blvd Ste 605
Encino CA 91436-4471
Phone: (818) 422-5322
Fax: (818) 578-8476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | A060777 | California |
Profile Details
| NPI number | 1891092797 |
|---|---|
| LBN Legal business name | California Institute For Cardiovascular And Laser Vein Surg |
| DBA Doing business as | |
| Authorized official | Ebrahimi, Sam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2011 |
| Last updated | Apr 29th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891092797 | NPPES |
| Maryland | MEDICAID | 404465702 | |
| Maryland | MEDICAID | 035556900 |
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