Individual
CHRISTOPHER ROBERT VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
4120 E 1ST ST APT 6, LONG BEACH, CA 90803-7611
(714) 721-5480
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA64016
CA
Other
Enumeration date
09/11/2023
Last updated
04/30/2024
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