Individual
SAUL ALEJANDRO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WILSHIRE BLVD, 5TH FL, LOS ANGELES, CA 90057-4303
(213) 639-0200
Mailing address
9585 GARVEY AVE, 16, EL MONTE, CA 91733-1046
(626) 716-2434
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40140
CA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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