Individual
MR. FERNANDO F VACAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-3721
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-3721
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
24737
CA
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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