Individual
MICHAEL VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2115 MONTIEL RD STE 103, SAN MARCOS, CA 92069-3587
(760) 839-2901
Mailing address
10588 RANCHO CARMEL DR, SAN DIEGO, CA 92128-3629
(858) 531-4536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52247
CA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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