Provider Demographics
NPI:1417560756
Name:VALIANA VASCULAR INSTITUTE INC.
Entity Type:Organization
Organization Name:VALIANA VASCULAR INSTITUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUANG
Authorized Official - Middle Name:T
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-706-9868
Mailing Address - Street 1:2501 E CHAPMAN AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3108
Mailing Address - Country:US
Mailing Address - Phone:714-706-9868
Mailing Address - Fax:714-492-8213
Practice Address - Street 1:2501 E CHAPMAN AVE STE 220
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3108
Practice Address - Country:US
Practice Address - Phone:714-706-9868
Practice Address - Fax:714-492-8213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty