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Individual

CESAR AUGUSTO VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
184332 ROSCOE BLVD., SUITE 103, NORTHRIDGE, CA 91325
(818) 734-7620
(818) 734-7621
Mailing address
18433 ROSCOE BLVD STE 103, NORTHRIDGE, CA 91325-4126
(818) 734-7620
(818) 734-7621

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A76791
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A767910
CA
Enumeration date
07/21/2006
Last updated
07/08/2007
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