Individual
DIEGO VARGAS VALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(925) 876-1442
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(925) 876-1442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157797
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2015
Last updated
12/17/2021
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