Individual
MR. ALARIC CORPUZ VINGUA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7447 SEPULVEDA BLVD, VAN NUYS, CA 91405-1631
(818) 636-0426
Mailing address
7305 SATSUMA AVE, SUN VALLEY, CA 91352-4822
(818) 824-3054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10772
CA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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