Individual
BERNICE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
(323) 629-9919
Mailing address
2040 CAMFIELD AVE., LOS ANGELES, CA 90040-1311
(323) 629-9919
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952810095
ALTAMED
CA
Enumeration date
07/31/2013
Last updated
09/15/2014
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