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

Mara Vascular Surgery Center Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1720956501

Mara Vascular Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Corona del Mar, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Bayside Dr Ste 100
Corona del Mar, CA 92625-1754
Phone: (747) 777-3188
Fax: (747) 777-4110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1720956501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramsess Khosravi — Owner · (323) 770-9607
NPI enumeratedOctober 24, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address6720 Valley Circle Blvd, West Hills, CA 91307-2809

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