Individual
ERNEST JOSEPH VASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10089 FOLSOM BLVD, SUITES A & C, RANCHO CORDOVA, CA 95670-1935
(916) 366-6531
Mailing address
PO BOX 4057, STOCKTON, CA 95204
(209) 463-0891
(209) 463-0560
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G54133
CA
Other
Enumeration date
07/08/2006
Last updated
11/05/2020
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