Individual
MR. ERIC RICARDO DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1006 W LA PALMA AVE, ANAHEIM, CA 92801-3650
(714) 778-3838
(714) 778-1962
Mailing address
710 N EUCLID ST STE 400, ANAHEIM, CA 92801-4122
(714) 517-2100
(714) 300-0473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17158
CA
Other
Enumeration date
10/13/2006
Last updated
06/24/2019
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