SearchCalifornia1041C0700X

Jorge Vargas

NPI 1902481146 · on the registry since 2021 · sole proprietor

Practice

Address
4200 Berenice Ave
Los Angeles, CA 90031
Phone
(323) 359-7554

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
RI, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-02

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