Individual
JOHNNY VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 E TEMPLE ST # A347, LOS ANGELES, CA 90012-3328
(213) 253-2677
Mailing address
220 W HELLMAN AVE APT E, MONTEREY PARK, CA 91754-1149
(213) 300-5311
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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