OrganizationActive
Authority Vascular Surgery Incorporated
NPI 1730983131 · Vascular Surgery Physician · Stockton, CA
Provider details
- NPI number
- 1730983131
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gabriel Herscu, President(209) 226-4300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1611 W March Ln
Stockton, CA 95207-6401
Phone: (209) 645-2020
Fax: (209) 227-1477
Approximate (ZIP-level) locationGet directions
Mailing address
1611 W March Ln
Stockton, CA 95207-6401
Registry dates
- Enumerated
- 2025-04-03
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.