Premier Vein Care

LBN: Premier Vein Care
Premier Vein Care is an health care organization with primary practice located at 3231 S Higuera St , San Luis Obispo CA 93401-6924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as the primary health care specialty. Premier Vein Care can be contacted via phone (805) 540-3333, or through Stevens, Kenneth via phone (805) 540-3333.

Contact Information

Primary practice address
3231 S Higuera St San Luis Obispo CA 93401-6924
Phone: (805) 540-3333
Fax: (805) 540-3344
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Kenneth Doctor of Medicine (MD)
Phone: (805) 540-3333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X

Profile Details

NPI number 1720391527
LBN Legal business name Premier Vein Care
DBA Doing business as Premier Vein Care
Authorized official Stevens, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2010
Last updated Jan 31st, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720391527 NPPES
California Other ZZZ64552Y BLUE SHIELD PROVIDER NUMBER

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