Individual
CARL DANIEL VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 CRENSHAW BLVD, E. 100, TORRANCE, CA 90503-1727
(310) 787-1500
Mailing address
3424 W ORANGE AVE, APT 210, ANAHEIM, CA 92804-3058
(714) 880-5276
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
05/08/2025
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