Mara Vascular Surgery Center Inc.
NPI #1720956501 in Corona Del Mar, California
Provider Information
- NPI Number
- 1720956501
- Entity Type
- Organization
- Organization Name
- Mara Vascular Surgery Center Inc.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 24, 2025
- Last Updated
- Nov 12, 2025
Practice Location
- Address
- 1101 BAYSIDE DR STE 100
- City
- Corona Del Mar
- State
- California
- ZIP Code
- 92625-1754
- Phone
- (747) 777-3188
Authorized Official
- Name
- RAMSESS KHOSRAVI, LLB, RVT
- Title
- OWNER
- Phone
- (323) 770-9607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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