Individual
CATHIA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292-5424
(310) 656-1770
(310) 578-5379
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A126312
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A126312
CA
Other
Enumeration date
07/19/2011
Last updated
10/27/2023
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