Organization Name: | VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES |
NPI Number: | 1295706901 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE SPIWAK (PRESIDENT) |
Mailing Address: | 3680 E Imperial Hwy Suite 502 Lynwood |
State: | CA US |
Postal Code: | 902622659 |
Phone Number: | 5626980271 |
Fax Number: | 5626987467 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A32316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |