Healthcare Provider Details

I. General information

NPI: 1750868089
Provider Name (Legal Business Name): VILV ZEETSER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 N STEPHANIE ST STE 1011
HENDERSON NV
89014-8901
US

IV. Provider business mailing address

18375 VENTURA BLVD STE 554
TARZANA CA
91356-4218
US

V. Phone/Fax

Practice location:
  • Phone: 702-844-6958
  • Fax: 866-443-1452
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SARA ARREDONDO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 702-844-6958