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Individual

ERICA VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8900 WILSHIRE BLVD, BEVERLY HILLS, CA 90211
(310) 432-8945
(310) 432-8935
Mailing address
3231 W 132ND STREET, HAWTHORNE, CA 90250
(310) 432-8945
(310) 432-8935

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001349
CA

Other

Enumeration date
10/30/2014
Last updated
10/30/2014
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