Individual
JUAN EDMUNDO VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, RM 6D14, SAN FRANCISCO, CA 94110-3518
(415) 206-5679
(415) 206-3112
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A76002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A760020
—
CA
Enumeration date
05/22/2006
Last updated
03/16/2021
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