| Valley Village Vein Clinic Pc | |
|
12840 Riverside Dr Ste 300 Valley Village CA 91607-3327 | |
| (847) 593-8616 | |
| (888) 398-3230 |
| Full Name | Valley Village Vein Clinic Pc |
|---|---|
| Speciality | Surgery |
| Location | 12840 Riverside Dr, Valley Village, California |
| Authorized Official Name and Position | Flora Katsnelson (OWNER) |
| Authorized Official Contact | 8475938616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Village Vein Clinic Pc Po Box 832 Northbrook IL 60065-0832 Ph: (262) 877-8752 | Valley Village Vein Clinic Pc 12840 Riverside Dr Ste 300 Valley Village CA 91607-3327 Ph: (847) 593-8616 |
| NPI Number | 1811201643 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 09/13/2012 |
| Medicare PECOS PAC ID | 0143409862 |
|---|---|
| Medicare Enrollment ID | O20110127000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811201643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Joseph Moza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356336127 PECOS PAC ID: 8729081542 Enrollment ID: I20060817000282 |
| Provider Name | Sankar P Kumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528044757 PECOS PAC ID: 8820278955 Enrollment ID: I20110208000038 |
| Provider Name | Richard A Guest |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811064728 PECOS PAC ID: 4385828987 Enrollment ID: I20110406000065 |
| Provider Name | Robert W Mcwhirter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316234966 PECOS PAC ID: 9638300957 Enrollment ID: I20140918002119 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20150729010087 |
| Provider Name | Paul Kramer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487693685 PECOS PAC ID: 1658364674 Enrollment ID: I20160302002248 |
| Provider Name | Robert Azizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316101298 PECOS PAC ID: 3779872981 Enrollment ID: I20160511001425 |
| Provider Name | Jeffrey Borders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861479941 PECOS PAC ID: 3072592203 Enrollment ID: I20160819000794 |
| Provider Name | Robert Torrance Andrews |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376685412 PECOS PAC ID: 5395896914 Enrollment ID: I20161208001219 |
| Provider Name | Stephen Kolakowski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003971102 PECOS PAC ID: 9133229461 Enrollment ID: I20170511001340 |
| Provider Name | Walter J Lech |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215073853 PECOS PAC ID: 7810168432 Enrollment ID: I20171121002220 |
| Provider Name | Christopher Sung-bo Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588155477 PECOS PAC ID: 4284980475 Enrollment ID: I20211018002504 |
| Provider Name | Farshid Etaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437645108 PECOS PAC ID: 6709202385 Enrollment ID: I20231101003800 |
Dan Dardashti, Md Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12626 Riverside Dr, Suite #506, Valley Village, CA 91607 Phone: 818-508-9190 Fax: 818-508-1648 | |
Hellodocla Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12660 Riverside Dr Ste 110, Valley Village, CA 91607 Phone: 424-253-4596 | |
Mobile Physicians Comfort Care, Inc - Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11905 Riverside Dr, Valley Village, CA 91607 Phone: 213-570-2025 | |
Studio City Urgent Care & Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12660 Riverside Dr, Suite 110, Valley Village, CA 91607 Phone: 818-761-1800 Fax: 818-761-1811 | |
Valerie P Israel D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5953 Laurel Canyon Blvd, Suite C, Valley Village, CA 91607 Phone: 424-744-0077 Fax: 424-652-2233 | |
Melina B. Jampolis Md A Proffessional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12526 Riverside Dr, Valley Village, CA 91607 Phone: 818-985-2559 Fax: 818-985-4459 |