MEDICARE: VASCULAR & GENERAL SURGERY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician
2	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891723607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR & GENERAL SURGERY ASSOCIATES

Provider Business Mailing Address
First Line	:	3791 KATELLA AVE STE 201
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2016
Country	:	US
Telephone Number	:	562-596-6736
Fax Number	:	562-598-5492

Provider Business Practice Location Address
First Line	:	3791 KATELLA AVE STE 201
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2016
Country	:	US
Telephone Number	:	562-596-6736
Fax Number	:	562-598-5492

Authorized Official
Title or Position	:	SURGEON/GENERAL PARTNER
Name	:	DR. SIMON B RAYHANABAD
Credential	:
Telephone Number	:	562-596-6736

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	02/10/2026

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