Individual
ANDREW LAYNE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(404) 502-5594
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(404) 502-5594
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A149015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A149015
STATE MEDICAL LICENSE
CA
Enumeration date
03/30/2015
Last updated
04/22/2025
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