Individual
DR. GUILLERMO VANEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 30TH ST, 530, OAKLAND, CA 94609-3424
(510) 629-2498
(510) 835-2682
Mailing address
PO BOX 3145, SAN RAMON, CA 94583-8145
(510) 629-2498
(510) 835-2682
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00C504970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C504970
—
CA
01
—
7372642
AETNA
—
Enumeration date
10/04/2006
Last updated
08/09/2011
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