Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vein Doctor Medical Group Inc

Organization Phlebology Physician · NPI 1164699880

Vein Doctor Medical Group Inc provides Phlebology Physician services in Santa Ana, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1945 E 17th St Ste 107
Santa Ana, CA 92705-6862
Phone: (714) 500-7714
Fax: (714) 500-7713
Show map & directions

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

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence G35672 (CA)

Record details

NPI number1164699880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberley Sharifi — Credentialing Manager · (714) 500-7714
NPI enumeratedMay 12, 2008
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021
Mailing address1945 E 17th St Ste 107, Santa Ana, CA 92705-6862

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