Individual
DR. JOSEPH FAMIL VARDAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
701 EAST 28TH ST, SUITE 314, LONG BEACH, CA 90806
(562) 981-9308
(562) 981-9318
Mailing address
701 EAST 28TH ST, SUITE 314, LONG BEACH, CA 90806
(562) 981-9308
(562) 981-9318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A43961
CA
2086S0129X
Vascular Surgery Physician
Primary
A43961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A439610
—
CA
Enumeration date
05/17/2006
Last updated
06/27/2016
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