NPI 1588917322

California Interventional Medical Group

Organisation Phlebology Physician Los Angeles, CA

Practice location

Address: 11601 Wilshire Blvd 5th Floor, Los Angeles, CA 99025
Phone: (630) 725-2737
Mailing address: 1901 Butterfield Rd. Suite 220, Downers Grove, IL 60515-1279

Authorised official

Name: Robert Lee Worthington-Kirsch
Title: Physician
Phone: (630) 725-2700

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence G88795 (CA)

Other Phlebology providers in California →

Registry record

NPI: 1588917322
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 17 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.