Provider Demographics
NPI:1093697088
Name:CALIFORNIA VASCULAR & SURGICAL CENTER INC
Entity type:Organization
Organization Name:CALIFORNIA VASCULAR & SURGICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-262-2285
Mailing Address - Street 1:1335 CYPRESS ST STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3539
Mailing Address - Country:US
Mailing Address - Phone:909-786-0117
Mailing Address - Fax:
Practice Address - Street 1:1335 CYPRESS ST STE 207
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3539
Practice Address - Country:US
Practice Address - Phone:909-786-0117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty