Individual
ALFREDO VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-6765
Mailing address
9432 HEARTHSIDE CT, RANCHO CUCAMONGA, CA 91730-5757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20591
CA
Other
Enumeration date
10/08/2009
Last updated
11/29/2021
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