Organization
JULIO C. VEGA, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO C. VEGA M.D. (PHYSICIAN - CORP. PRESIDENT)
(714) 850-1872
Entity
Organization
Contact information
Practice address
11100 WARNER AVE., #302, FOUNTAIN VALLEY, CA 92708
(714) 850-1872
(714) 850-1874
Mailing address
11100 WARNER AVE., #302, FOUNTAIN VALLEY, CA 92708
(714) 850-1872
(714) 850-1874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A33429
CA
208600000X
Surgery Physician
Primary
A33429
CA
208D00000X
General Practice Physician
A33429
CA
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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