VASCULAR COSMETICS LA
NPI 1366912446
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Irvine, CA
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
About VASCULAR COSMETICS LA
This page provides the complete NPI Profile along with additional information for Vascular Cosmetics La, a provider established in Irvine, California operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1366912446 assigned on November 2018. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Reza Khodaverdian Md (President)
- NPI
- 1366912446 Verify this NPI
- Provider Name
- VASCULAR COSMETICS LA
- Entity Type
- Organization
- Location Address
- 112 WATERWORKS WAY SUITE 140 IRVINE, CA 92618
- Location Phone
- (949) 636-7775
- Mailing Address
- 19 HEATHER HILL LN LAGUNA HILLS, CA 92653
- Mailing Phone
- (801) 641-1344
- Mailing Fax
- (818) 484-8243
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2018
- Last Update Date
- 07-02-2025
- Code Navigator
Location Map
Secondary Locations
- 319 S Brand Blvd
Glendale, CA 91204
(818) 482-0016 - 1511 W Glenoaks Blvd
Glendale, CA 91201
(818) 482-0016
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A127413 | OTHER (01) | CA | MED LICENSE |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366912446, enumerated as an "organization" on November 30, 2018.
The provider is located at 112 WATERWORKS WAY SUITE 140 IRVINE, CA 92618 and the phone number is (949) 636-7775.
Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
