Modern Vascular Of Glendale, Llc

Specialty details in registry · Glendale, AZ

Call (818) 949-2634 Directions

At a glance

11851 N 51St Ave, Glendale, AZ 85304

NPPES record updated Jul 11, 2018. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

11851 N 51St Ave Building G
Glendale, AZ 85304

Professional details: NPI, taxonomy & registry record

NPI1063947638

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2085R0204X
Enumeration date: Apr 20, 2017
Record updated: Jul 11, 2018

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X

Cardiovascular Disease

207RC0000X

Specialty details in registry

207RI0011X

Specialty details in registry

2085R0204X · Primary

Podiatrist

213E00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11851 N 51St Ave
Building G
Glendale, AZ 85304

Phone: (818) 949-2634

Mailing address

26500 AGOURA RD STE 102-587

CALABASAS, CA 913021952

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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