Individual
CARLOS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 FOOTHILL BLVD., PASADENA, CA 91107
(626) 463-1021
(626) 839-1780
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 463-1021
(626) 396-0162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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