Individual
PAUL M VESPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PLZ, SUITE 200, LOS ANGELES, CA 90095-0001
(310) 825-5111
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-5111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G79459
CA
2084N0400X
Neurology Physician
Primary
G79459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G794590
—
CA
Enumeration date
08/10/2006
Last updated
07/29/2010
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