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RENAISSANCE ASTHETIC LASER AND VEIN INSTITUTE, A MEDICAL CORPORATION
NPI 1730258187
Surgery - Vascular Surgery in Thousand Oaks, CA

Active since November 07, 2006
77 ROLLING OAKS DR STE 202, THOUSAND OAKS, CA 91361(805) 379-6717 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2024, Aug 3, 2024, Jul 25, 2024 and 4 more (7 updates tracked since 2020).

About Renaissance Asthetic Laser And Vein Institute, A Medical Corporation NPPES

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

RENAISSANCE ASTHETIC LASER AND VEIN INSTITUTE, A MEDICAL CORPORATION (NPI 1730258187) is a healthcare organization registered as a vascular surgery in Thousand Oaks, California and active in the NPI registry since November 2006. The organization lists Gholam Reza Mohammadzadeh, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1730258187
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameRENAISSANCE ASTHETIC LASER AND VEIN INSTITUTE, A MEDICAL CORPORATION
Location Address77 ROLLING OAKS DR STE 202Thousand Oaks, CA 91361-1018
Mailing Address77 Rolling Oaks Dr Ste 202Thousand Oaks, CA 91361-1018 · (805) 379-6717 · Fax (805) 379-6719
Phone(805) 379-6717
Organization SubpartNo
Authorized OfficialGholam Reza MohammadzadehOwner/president · (805) 379-6717
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 23, 20247 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1730258187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

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

77 ROLLING OAKS DR STE 202, Thousand Oaks, CA 91361
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUE ANN FERRARO NP
Nurse Practitioner
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 387-6687
DR. GHOLAM REZA MOHAMMADZADEH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-6717
GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION
Thoracic Surgery (Cardiothoracic Vascular Surgery)
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-6717
JUST BEAUTIFUL AESTHETICS
Nurse Practitioner
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 387-6687

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 Renaissance Asthetic Laser And Vein Institute, A Medical Corporation's NPI number?

The NPI number for Renaissance Asthetic Laser And Vein Institute, A Medical Corporation is 1730258187. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Renaissance Asthetic Laser And Vein Institute, A Medical Corporation located?

Renaissance Asthetic Laser And Vein Institute, A Medical Corporation is located at 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361. The listed phone number is (805) 379-6717.

What is Renaissance Asthetic Laser And Vein Institute, A Medical Corporation'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 Renaissance Asthetic Laser And Vein Institute, A Medical Corporation was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.