Individual
DR. CARLOS R VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7974 HAVEN AVE, SUITE 210, RANCHO CUCAMONGA, CA 91730
(909) 941-0661
(909) 948-5577
Mailing address
7974 HAVEN AVE, SUITE 210, RANCHO CUCAMONGA, CA 91730
(909) 941-0661
(909) 948-5577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A7446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74460
—
CA
Enumeration date
05/17/2006
Last updated
07/08/2007
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