USA Vein Clinic Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A106254 Issued in CA

Legal business name

USA VEIN CLINIC INC

Practice address

7901 Santa Monica Blvd
Suite 209
West Hollywood, CA 90046-5177

Phone

(888) 768-3467

Fax

(262) 877-2632

NPI assigned

Feb 24, 2009

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Flora Katsnelson, MD

Title

Owner

Phone

(262) 877-8752

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1720228273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650832",
            "telephone_number": "888-768-3467",
            "fax_number": "262-877-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD",
            "address_2": "SUITE 209",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "888-768-3467",
            "fax_number": "262-877-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VEIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-877-8752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A106254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A106254",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in West Hollywood, CA
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• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.