Vein About You a Prof Physician Assistant Corp

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

VEIN ABOUT YOU A PROF PHYSICIAN ASSISTANT CORP

Practice address

2777 Pacific Ave Ste 206M
Long Beach, CA 90806-2627

Phone

(562) 980-0007

NPI assigned

May 13, 2022

Last updated

Aug 23, 2023By 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

Ms. Crystal Lisa Rene de Cotret, PA-C

Title

Owner/Ceo

Phone

(310) 569-5869

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1871230771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 LEES AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE STE 206M",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062627",
            "telephone_number": "562-980-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN ABOUT YOU A PROF PHYSICIAN ASSISTANT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "RENE DE COTRET",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-569-5869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://provider.kareo.com/crystal-rene-de-cotret",
            "affiliation": "N",
            "address_1": "2777 Pacific Ave Ste 206M",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908062627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Vega
• Therese T Vega
• Timothy Vega, PTA
• Vanessa Vega
• Andrea K Veiga-Ermert, MS BCBA
• Magnolia Vela
• Victoria Leigh Anne M Vela, LMFT
• Analisa Cassandra Velasco-Lopez, LCSW
• Anna Isabella Velasco
• Bryana Velasco

• Surgical Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.