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 Surgery, Vascular Surgery (Licence: CA G17696) |
Enumeration Date | 2008-01-25 |
Last Update Date | 2013-03-25 |