SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION
Medical Practice at Ventura Blvd, Los Angeles, CA

License number
California A062315
Category
Medical Practice
Type
Specialist
Owner
Name: DR. FUAD F RAFIDI M.D.
Title: CO-PRESIDENT
Phone: (818) 345-6126
Address
Address
18226 Ventura Blvd SUITE 102, Los Angeles, CA 91356
National Provider ID: 1518014463
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAN FERNANDO VALLEY VASCULAR GROUP, A MEDICAL CORPORATION

Los Angeles, CA

Registration:
Oct 30, 1975
Addresses:
18226 Ventura Blvd SUITE 102, Tarzana, CA 91356 (Physical)
18372 Clark St, Los Angeles, CA 91356
State ID:
C0757405
Business type:
Articles of Incorporation
Presidents:
Fuad F. Rafidi (President),Zahi E. Nassoura President, inactive
Agent:
Nahi E Nassoura,Tarzana, CA 91356 (Physical)

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