Modern Vascular of Sun City, LLC
Modern Vascular of Sun City, LLC is a Vascular & Interventional Radiology Physician in Surprise, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14780 W Mountain View Blvd Ste 120Surprise, AZ 85374-7280
Phone: (602) 892-0917
Fax: (602) 842-7106
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Vascular-Interventional Technology Radiologic Technologist | Taxonomy 2471V0106X |
Record details
| NPI number | 1083179378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yury Gampel — Manager · (818) 880-8605 |
| NPI enumerated | January 31, 2019 |
| Last updated in NPPES | January 31, 2019 |
| Mailing address | 26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952 |