Individual
MR. EDUARDO VERGARA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2039 FOREST AVE, SUITE #205A, SAN JOSE, CA 95128
(408) 294-1420
(408) 213-0820
Mailing address
2039 FOREST AVE, SUITE #205A, SAN JOSE, CA 95128
(408) 294-1420
(408) 213-0820
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A37907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037907
—
CA
Enumeration date
09/16/2006
Last updated
07/08/2007
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