Vanguard Vein Centers
in Los Angeles, CA. Organization (NPI-2).
NPI number1699472191
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1699472191
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanguard Vein Centers
- Organization subpart
- No
- Enumeration date
- Feb 14, 2023
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
10884 Santa Monica Blvd Ste 403Los Angeles, CA 90025-7639
Phone 310-709-7460
Mailing address
10884 Santa Monica Blvd Ste 403Los Angeles, CA 90025-7639
Authorized official
Ollie Joseph Jackson
Owner
3107097460
Is something wrong?
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