| West Hollywood Vein Clinic Pc | |
|
7901 Santa Monica Blvd Ste 209 West Hollywood CA 90046-5180 | |
| (323) 798-1800 | |
| (323) 798-1801 |
| Full Name | West Hollywood Vein Clinic Pc |
|---|---|
| Speciality | Surgery |
| Location | 7901 Santa Monica Blvd Ste 209, West Hollywood, 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 |
|---|---|
| West Hollywood Vein Clinic Pc Po Box 832 Northbrook IL 60065-0832 Ph: (323) 798-1800 | West Hollywood Vein Clinic Pc 7901 Santa Monica Blvd Ste 209 West Hollywood CA 90046-5180 Ph: (323) 798-1800 |
| NPI Number | 1881960920 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 09/13/2012 |
| Medicare PECOS PAC ID | 0446413090 |
|---|---|
| Medicare Enrollment ID | O20120518000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881960920 | 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 | 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 | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20200316002758 |
| 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 |
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