Individual
ESTHER VELA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 BARRY AVE APT 1, LOS ANGELES, CA 90025-8701
(310) 819-6858
Mailing address
1724 BARRY AVE APT 1, LOS ANGELES, CA 90025-8701
(310) 819-6858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93510612A
—
CA
Enumeration date
09/23/2019
Last updated
09/23/2019
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