Organization
VEGA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE HECTOR VEGA M.D. (CHIEF)
(760) 393-8494
Entity
Organization
Contact information
Practice address
51615 AVENIDA OBREGON, LA QUINTA, CA 92253-3217
(760) 393-8494
Mailing address
51615 AVENIDA OBREGON, LA QUINTA, CA 92253-3184
(760) 393-8494
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G43148
CA
Other
Enumeration date
12/12/2013
Last updated
10/03/2014
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