Individual
TIMOTHY VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4028 E BROADWAY, LONG BEACH, CA 90803-1502
(562) 433-4331
Mailing address
9621 LEMORAN AVE, DOWNEY, CA 90240-3054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50306
CA
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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