Organization Name: | CVTS MEDICAL GROUP, INC |
NPI Number: | 1043457872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK W HUANG (PRACTICIONER) |
Mailing Address: | 754 Medical Center Ct Ste 103 Chula Vista |
State: | CA US |
Postal Code: | 919116654 |
Phone Number: | 6194211111 |
Fax Number: | 6194211504 |
NPI Enumeration Date: | 01/15/2009 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | A74711 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |