Individual
JOAQUIN BARRETO-VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4319891
DRIVER'S LICENSE #
CA
Enumeration date
06/28/2007
Last updated
04/23/2026
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