Provider Demographics
NPI:1407393754
Name:VALLEY VASCULAR PARTNERS INC
Entity Type:Organization
Organization Name:VALLEY VASCULAR PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-457-4512
Mailing Address - Street 1:19231 VICTORY BLVD STE 155
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6329
Mailing Address - Country:US
Mailing Address - Phone:818-949-2361
Mailing Address - Fax:818-691-2632
Practice Address - Street 1:19231 VICTORY BLVD STE 155
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6329
Practice Address - Country:US
Practice Address - Phone:818-949-2631
Practice Address - Fax:818-691-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty