Individual
DR. JORGE H VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 12-383 MDCC, LOS ANGELES, CA 90095-1752
(310) 206-6136
(310) 206-0203
Mailing address
10833 LE CONTE AVE, 12-383 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-6136
(310) 206-0203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A85869
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A43306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A433060
—
CA
Enumeration date
09/02/2006
Last updated
10/03/2012
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