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

Vascular Cosmetics La

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1366912446

Vascular Cosmetics La is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Irvine, California. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

112 Waterworks Way Ste 140
Irvine, CA 92618-3168
Phone: (949) 636-7775
Show map & directions

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

Additional practice locations (2)

  • 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 — (818) 482-0016
  • 319 S Brand Blvd, Glendale, CA 91204-1701 — (818) 482-0016

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1366912446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Khodaverdian — President · (949) 636-7775
NPI enumeratedNovember 30, 2018
Last updated in NPPESJuly 2, 2025
Certification dateJune 17, 2025
Mailing address19 Heather Hill Ln, Laguna Hills, CA 92653-6043

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