SOUTHERN CALIFORNIA VASCULAR GROUP, INC
NPI 1376905802
Surgery - Vascular Surgery in Los Angeles, CA

Q: What is Southern California Vascular Group, Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since March 23, 2016

1530 CAMDEN AVE STE 403, LOS ANGELES, CA 90025(310) 914-9150 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern California Vascular Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CALIFORNIA VASCULAR GROUP, INC (NPI 1376905802) is a healthcare organization registered as a vascular surgery in Los Angeles, California and active in the NPI registry since March 2016. The organization lists Sammy Eghbalieh, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1376905802

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSOUTHERN CALIFORNIA VASCULAR GROUP, INC

Location Address1530 CAMDEN AVE STE 403Los Angeles, CA 90025-8010

Mailing Address1530 Camden Ave Ste 403Los Angeles, CA 90025-8010

Phone(310) 914-9150

Organization SubpartNo

Authorized OfficialSammy EghbaliehMedical Doctor · (310) 914-9150

Enumeration DateMarch 23, 2016

✔ NPI 1376905802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · A133688

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1530 CAMDEN AVE STE 403, Los Angeles, CA 90025

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern California Vascular Group, Inc's NPI number?

The NPI number for Southern California Vascular Group, Inc is 1376905802. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Southern California Vascular Group, Inc located?

Southern California Vascular Group, Inc is located at 1530 Camden Ave Ste 403, Los Angeles, CA 90025. The listed phone number is (310) 914-9150.

What is Southern California Vascular Group, Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Southern California Vascular Group, Inc was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.