Provider Demographics
NPI:1497320618
Name:THE SAN FRANCISCO VEIN AND VASCULAR INSTITUTE, LLC
Entity Type:Organization
Organization Name:THE SAN FRANCISCO VEIN AND VASCULAR INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILLEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-230-2422
Mailing Address - Street 1:1 DANIEL BURNHAM CT STE 205C
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5472
Mailing Address - Country:US
Mailing Address - Phone:415-221-7056
Mailing Address - Fax:415-221-7058
Practice Address - Street 1:1 DANIEL BURNHAM CT STE 205C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5472
Practice Address - Country:US
Practice Address - Phone:415-221-7056
Practice Address - Fax:415-221-7058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical