Villa Patria Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A34168 Issued in CA

Legal business name

VILLA PATRIA INC

Practice address

211 N Valley St
Suite 401
Burbank, CA 91505-3951

Phone

(818) 409-8000

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Zbigniew Dworak, M.D.

Title

Ceo

Phone

(818) 823-8704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1942326467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N VALLEY ST",
            "address_2": "SUITE 401",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053951",
            "telephone_number": "916-678-6760",
            "fax_number": "916-678-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N VALLEY ST",
            "address_2": "SUITE 401",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053951",
            "telephone_number": "818-409-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA PATRIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DWORAK",
        "authorized_official_first_name": "ZBIGNIEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-823-8704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A34168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.