| NPI | 1861795965 |
|---|---|
| Doing Business As | FITZGIBBONS VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRENCE J FITZGIBBONS Medical Director 213-977-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA G32025) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2014-07-29 |