Provider Demographics
NPI:1699902197
Name:VALLEY VASCULAR IMAGING INC
Entity type:Organization
Organization Name:VALLEY VASCULAR IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJIBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-558-7700
Mailing Address - Street 1:PO BOX 16335
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91416-6335
Mailing Address - Country:US
Mailing Address - Phone:818-558-7700
Mailing Address - Fax:818-558-7779
Practice Address - Street 1:201 S BUENA VISTA ST
Practice Address - Street 2:STE 300
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4569
Practice Address - Country:US
Practice Address - Phone:818-558-7700
Practice Address - Fax:818-558-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA644852471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty