Provider Demographics
NPI:1528307006
Name:VEIN CLINICS OF HAWAII LLC
Entity type:Organization
Organization Name:VEIN CLINICS OF HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:JULEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-892-2950
Mailing Address - Street 1:1431 OCHSNER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8246
Mailing Address - Country:US
Mailing Address - Phone:985-892-2950
Mailing Address - Fax:
Practice Address - Street 1:65-1158 MAMALAHOA HWY STE 16
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8442
Practice Address - Country:US
Practice Address - Phone:985-892-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty