| NPI | 1487831046 |
|---|---|
| Doing Business As | BEVERLY HILLS VEINS CENTER |
| Entity Type | Organization |
| Authorized Contact | WAYNE STUART GRADMAN President 310-277-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA G17696) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2013-03-25 |