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Individual

BRYAN J VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3580 WILSHIRE BLVD, SUITE2000, LOS ANGELES, CA 90010-2501
(213) 381-1250
(213) 383-4803
Mailing address
3580 WILSHIRE BLVD., SUITE2000, LOS ANGELES, CA 90010
(213) 381-1250
(213) 383-4803

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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