Individual
DR. RICARDO RAFAEL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27699 JEFFERSON AVE STE 204, TEMECULA, CA 92590
(951) 225-1116
(951) 225-1103
Mailing address
27699 JEFFERSON AVE, STE 204, TEMECULA, CA 92590-2696
(951) 225-1116
(951) 225-1103
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A65736
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A65736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A657360
—
CA
Enumeration date
05/24/2005
Last updated
08/14/2018
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