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

Southern California Vein and Aesthetics LLC

Organization Vascular Surgery Physician · NPI 1720935505

Southern California Vein and Aesthetics LLC is a Vascular Surgery Physician in Riverside, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6780 Indiana Ave Ste 110
Riverside, CA 92506-4284
Phone: (951) 213-9269
Fax: (951) 213-6483
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1720935505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Tahir — Ceo · (760) 515-6260
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address18092 Wika Rd Ste 220, Apple Valley, CA 92307-2132

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