SearchCalifornia183500000X

Jesus De La Vega

NPI 1659016657 · on the registry since 2022

Practice

Address
13255 Black Mountain Rd
San Diego, CA 92129
Phone
(858) 484-7241
Organisation at this address
Vons Companies Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

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
2022-05-03

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