Individual
ANA P. VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8152409
CA DRIVER LICENSE
CA
Enumeration date
05/11/2006
Last updated
10/27/2023
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