| NPI | 1417576307 |
|---|---|
| Doing Business As | ADVANCED VASCULAR AND VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | SIMPLEDEEP BANIPAL Vascular Surgeon 818-926-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |