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Jimmy Vasquez

NPI 1801125349 · on the registry since 2009 · sole proprietor

Practice

Address
2450 S Atlantic Blvd Ste 101
Commerce, CA 90040
Phone
(323) 318-9960
Organisation at this address
Penny Lane
Penny Lane
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-25

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