Individual
GEOVANY VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 S HILL ST, LOS ANGELES, CA 90012-3506
(213) 793-3675
Mailing address
222 S HILL ST, LOS ANGELES, CA 90012-3506
(213) 793-3675
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A7285539
CA
373H00000X
Day Training/Habilitation Specialist
Primary
A7285539
CA
Other
Enumeration date
03/17/2025
Last updated
01/21/2026
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