Provider Demographics
NPI:1497203251
Name:VARICOSE RELIEF INC.
Entity Type:Organization
Organization Name:VARICOSE RELIEF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-733-1004
Mailing Address - Street 1:3130 W OLYMPIC BLVD.
Mailing Address - Street 2:SUITE 360
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2484
Mailing Address - Country:US
Mailing Address - Phone:323-733-1004
Mailing Address - Fax:323-733-1003
Practice Address - Street 1:3130 W OLYMPIC BLVD.,
Practice Address - Street 2:SUITE 360
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2484
Practice Address - Country:US
Practice Address - Phone:323-733-1004
Practice Address - Fax:323-733-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty