OrganizationActive
Modern Vascular of Sun City, LLC
NPI 1083179378 · Vascular & Interventional Radiology Physician · Surprise, AZ
Provider details
- NPI number
- 1083179378
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yury Gampel, Manager(818) 880-8605
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
14780 W Mountain View Blvd Ste 120
Surprise, AZ 85374-7280
Phone: (602) 892-0917
Fax: (602) 842-7106
Approximate (ZIP-level) locationGet directions
Mailing address
26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952
Registry dates
- Enumerated
- 2019-01-31
- Last updated
- 2019-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.