Individual
ANGELINA VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 COLUMBIA AVE, LOS ANGELES, CA 90017-1209
(213) 553-1884
Mailing address
515 COLUMBIA AVE, LOS ANGELES, CA 90017-1209
(213) 553-1884
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
10/22/2020
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