SearchCalifornia183500000X

Luis Vidaurrazaga

NPI 1093402695 · on the registry since 2023

Practice

Address
12049 Penford Dr
La Mirada, CA 90638
Phone
(310) 908-5817

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California