Organization
RICHARD VASAK, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VASAK MD (OWNER)
(310) 291-8067
Entity
Organization
Contact information
Practice address
542 S FAIR OAKS AVE, PASADENA, CA 91105-2606
(626) 720-2879
Mailing address
823 N AVENUE 64, LOS ANGELES, CA 90042-1413
(626) 720-2879
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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