Individual
CHARLES P VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI FAMILY HEALTH CENTER, 800 N MAIN STREET, SANTA ANA, CA 92701
(714) 456-8978
Mailing address
PRIMARY CARE MEDICAL GROUP, PO BOX 513620, LOS ANGELES, CA 90051-3620
(714) 456-6369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000000A63796
CA
Other
Enumeration date
09/12/2006
Last updated
04/08/2008
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