Individual
DR. ERNIE VAZQUEZ-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR SAN DIEGO CA 92134, SAN DIEGO, CA 92134-0001
(787) 223-0082
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(787) 223-0082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19472
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982986394
—
CA
Enumeration date
09/12/2011
Last updated
03/17/2018
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