Individual
RITA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15615 FREEMAN AVE, LAWNDALE, CA 90260-2602
(310) 648-1597
Mailing address
15615 FREEMAN AVE, LAWNDALE, CA 90260-2602
(310) 648-1597
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
00267438
CA
374U00000X
Home Health Aide
00241077
CA
Other
Enumeration date
07/17/2025
Last updated
08/15/2025
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