Search › California › 101YA0400X
Jorge Vasquez, CADC-I
NPI 1134644115 · on the registry since 2017 · sole proprietor
Practice
- Address
- 222 W Hospitality Ln
San Bernardino, CA 92415 - Phone
- (909) 421-4601
Additional practice sites
- 508 S 2nd Ave, Covina, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-27
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