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

Mana Vascular Clinic, PLLC

Organization Vascular Surgery Physician · NPI 1386121580

Mana Vascular Clinic, PLLC is a Vascular Surgery Physician in Glendale, Arizona. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18555 N 79th Ave Ste B101
Glendale, AZ 85308-8372
Phone: (520) 979-7095
Fax: (623) 594-2252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1386121580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lannery Lauvao — Owner · (520) 979-7095
NPI enumeratedJuly 20, 2018
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024
Mailing address14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280

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