Individual
MRS. DANIELLE M VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2237 W BALL RD, ANAHEIM, CA 92804-5314
(714) 490-2750
(714) 490-2757
Mailing address
1236 SALVADOR DR E, PLACENTIA, CA 92870-3924
(562) 447-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16670
CA STATE BOARD NUMBER
CA
Enumeration date
06/28/2018
Last updated
04/20/2021
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