Organization
RICARDO R VEGA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO R VEGA MD (OWNER)
(951) 225-1116
Entity
Organization
Contact information
Practice address
25109 JEFFERSON AVE STE 125, MURRIETA, CA 92562-8118
(951) 225-1116
(951) 225-1103
Mailing address
27699 JEFFERSON AVE STE 204, TEMECULA, CA 92590-2696
(951) 225-1116
(951) 225-1103
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A65736
CA
207RP1001X
Pulmonary Disease Physician
A65736
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A65736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A657360
MEDICARE
CA
01
—
ZZZ01366Z
MEDICARE GROUP NUMBER
CA
Enumeration date
07/30/2007
Last updated
08/14/2018
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