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General NPI Number Information
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NPI Number | 1871862607
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Entity Type | Organization
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Legal Business Name | LOS ANGELES VASCULAR SERVICES, INC
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 620 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-3624
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Country | US
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Telephone | 323-869-0871
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Fax | 323-869-0875
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Provider Business Mailing Address
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Address Line | 1012 W BEVERLY BLVD SUITE 873
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City | MONTEBELLO
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State | CA
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Zip | 90640-4139
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Country | US
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Telephone | 323-869-0871
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Fax | 323-869-0875
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GUATAVO TORRES
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Credential | MD
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Telephone | 323-869-0871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A-70962
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License Number State | CA
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