Individual
GILBERT VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(323) 769-7179
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(323) 509-0643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
115908
CA
104100000X
Social Worker
Primary
ASW115908
CA
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2018
Last updated
04/01/2025
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