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Organization
VIGILANCE PERIOPERATIVE MEDICAL GROUP
Active
Organization
VIGILANCE PERIOPERATIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON L VILLARREAL M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
3700 SOUTH ST, LAKEWOOD, CA 90712-1419
(562) 531-2550
(562) 602-0083
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740553411
—
CA
Enumeration date
02/10/2012
Last updated
01/21/2013
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