Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Vascular Access Ctr Medical Grp

Organization Specialist · NPI 1104960558

La Vascular Access Ctr Medical Grp is a Specialist in Inglewood, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

323 N Prairie Ave Ste 114
Inglewood, CA 90301-4502
Phone: (310) 674-9300
Fax: (310) 674-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1104960558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Rubin — Authorized Offical · (310) 674-9300
NPI enumeratedFebruary 19, 2007
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address323 N Prairie Ave, Suite 114, Inglewood, CA 90301-4502

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