Renaissance Asthetic Laser and Vein Institute, a Medical Corporation
Renaissance Asthetic Laser and Vein Institute, a Medical Corporation is a Vascular Surgery Physician in Thousand Oaks, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
77 Rolling Oaks Dr Ste 202Thousand Oaks, CA 91361-1018
Phone: (805) 379-6717
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Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X |
|---|
Record details
| NPI number | 1730258187 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gholam Mohammadzadeh — Owner/President · (805) 379-6717 |
| NPI enumerated | November 7, 2006 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
| Mailing address | 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361-1018 |
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