Provider Demographics
NPI:1831446848
Name:UNITED VASCULAR ACCESS CENTER CORP
Entity type:Organization
Organization Name:UNITED VASCULAR ACCESS CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-978-4700
Mailing Address - Street 1:3010 W ORANGE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3169
Mailing Address - Country:US
Mailing Address - Phone:714-978-4700
Mailing Address - Fax:714-408-9719
Practice Address - Street 1:3010 W ORANGE AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3169
Practice Address - Country:US
Practice Address - Phone:714-978-4700
Practice Address - Fax:174-408-9719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831446848OtherNPI