Individual
DR. GLENN A VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(595) 935-4300
Mailing address
1260 ARMACOST AVE APT 303, LOS ANGELES, CA 90025-1469
(310) 903-7408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A81131
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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