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Individual

DR. ERICA VEGUILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
1000 FIVEPOINT, IRVINE, CA 92618-2377
(949) 671-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036137742
IL
2084P0800X
Psychiatry Physician
236005
MA
2084P0800X
Psychiatry Physician
Primary
C195132
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN GROUP
IL
01
F400236233
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
05/24/2007
Last updated
09/19/2024
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