Individual
JESUS VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8133 MAGNOLIA AVE, RIVERSIDE, CA 92504-3409
(951) 688-4321
Mailing address
461 WINSLOW DR, CORONA, CA 92879-1064
(951) 751-4395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2710
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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